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CITY OF ORONO PERMIT NO.: 2009-00821 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/16/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 850 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0004 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : REyiI.D£NTIA—_%_r i i} tx_ i Sh0(; <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 /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL <br /> • <br /> APPLICANT WATER METER RESIDENTIAL 394.67 <br /> BITTER EXCAVATING WATER METER RESIDENTIAL HORN 104.45 <br /> 7120 VERNON STREET <br /> ROCKFORD,MN 55373 MISC FEE 0.38 <br /> (612)477-5649 TOTAL 499.50 <br /> Minnesota State License#: 1921 <br /> OWNER <br /> OMS Properties LLC <br /> 760 HUNT FARM RD <br /> LONG LAKE, MN 55356- <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 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke <br /> me for due cause. ,/ P <br /> pplicant Permitee Signa ure Date Issued By Si ature �� v�—�\ ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO ^E. <br />