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CITY OF ORONO * Z 0 1 3 - PJ 0 6 2 4 * <br /> 2750 KELLEY PARKWAY DATE iSSUED: 07/09/2013 <br /> • , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3805 NORTH SHORE DR <br /> PIN : 17-117-23-21-0029 <br /> LEGAL DESC : SHERRI LAKEVIEW ESTATES <br /> ; LOT 002 BLOCK 001 <br /> PERMIT TYPE : WATER METER-RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER-RESIDENTIAL <br /> NOTE: INSEPCTIONS ARE DONE BY PU[3I,IC WORKS Df�,PARTMGNT. <br /> TO SE"T-UP AN INSPF.CT[ON,PLE�ISG CALL:(952)249-4613 <br /> 5/8" WATER METER <br /> SERIAL NUMF3ER-93297733 <br /> ERT HIGH- 1834805213 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL I <br /> APPLICANT WATER METER RESIDENTIAL 245.70 <br /> SABRE HEATING & A1R COND INC. WATER METER RESIDENTIAL HORN 68.97 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN 55447 TOTAL 314.67 <br /> (763)473-2267 <br /> OWNER <br /> RACHEL, DON <br /> 3805 NORTH SHORE DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work fbr which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 issuancc,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible Yor assuring all required inspections are <br /> requested in conf rmance with the State Building Code.This permit may be <br /> revoked at any ti for due cause. <br /> C � � � � � � / / <br /> Applica Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />