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i • � <br /> CITY OF ORONO PERMIT NO.: 2009-00701 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [ssuEn: 10/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SHADYWOOD RD <br /> PIN : 17-117-23-31-0041 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> NEPTUNE WATER M� MET'EJZ, <br /> 5/8"-SERIAL#86055548, ERT HIGH# 1820836491 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 268.05 <br /> HUNTS PLUMBING INC WATER METER RESIDENTIAL HORN 66.83 <br /> 15225 CARROUSEL WAY#1 TOTAL 334.88 <br /> ROSEMOUNT, MN 55068- <br /> (651)322-1130 <br /> Minnesota State License#: 58964 <br /> OWNER <br /> MARHULA, DAREN <br /> 2100 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 goveming 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 construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The ap licant is responsible for assuring all required inspections are <br /> req� d in conformance with the State Building Code.This permit may be <br /> re�o ed at an t e�'r due,�a'use. <br /> y� �•U/ �/U��`�� i l.� i �j /�i /.�i � <br /> Applicant Permitee Signature Date � <br /> Is� d By �gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />