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CITY OF ORONO PERMIT NO.: 2oos-oo429 <br /> 2750 KELLEY PARKWAY <br /> . <br /> • ORONO,MN 55356- DATE ISSUED: 12/03/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3768 NORTH SHORE DR <br /> PIN : 08-117-23-34-0063 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: INSPECTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 312.40 <br /> ROBERT BEISSEL HOMES WATER METER RESIDENTIAL HORN 61.00 <br /> 1718 EAGLE LANE TOTAL 373.40 <br /> MOLJND,MN 55364 <br /> (612)581-4254 <br /> Minnesota State License#:20043044 <br /> OWNER <br /> BLAIR,NANCY <br /> 5501 VILLAGE DR <br /> EDINA,MN 55439 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consWction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested i formance with the te Building Code.This permit may be <br /> revoked aE ime or due use. <br /> � / � /� / / <br /> A p cant Percrt'ee S�gnatur Date Issue y i nature Date <br /> L�� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBE BOVE. <br />