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CITY OF ORONO * z 0 1 7 - 0 0 1 8 1 * <br /> ^� 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2017 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2000 SHADYWOOD RD <br /> PIN : 17-117-23-31-0001 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER METER-RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER-RESIDENTIAL <br /> NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <br /> TO SET-UP AN [NSPECTION,PLEASE CALL:(952)249-4613 <br /> WATER METER RESIDENT[AL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 372.06 <br /> WATER METER RESIDENTIAL HORN 144.64 <br /> CARLSON PLUMBiNG TOTAL 516.70 <br /> 19240 ISETTA ST NE Payment(s) <br /> EAST BETHEL, MN 55092- CHECK 6930 516.70 <br /> (651)291-7788 <br /> Minnesota State License#: plbg-PM062270 <br /> OWNER <br /> Sustainable 9 Holdings LLC <br /> 124 MAIN ST SE <br /> SUITE#343 <br /> M[NNEAPOLIS, MN 55414- <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 separate <br /> permits. All provisions of laws and ordinances governing this rype 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 l80 days of the date of issuance,or if construction 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 are <br /> requested in conformance with the State i ' g qde.This permit may be <br /> revoked at any time for due cause. `� <br /> / <br /> � ��q� � ��,c.�; � �� ,_���-���. � ���� � � <br /> �� � � - <br /> Applic ermitee Signature Date [ssued By Signature Date <br />