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• I CITY OF ORONO PERMIT NO.: 2011-01579 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/22/2011 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0011 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <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 COMMERCIAL HORN 0 WATER METER COMMERCIAL 1 <br /> APPLICANT WATER METER COMMERCIAL 1,998.57 <br /> KA Reality WATER METER COMMERCIAL HORN 0.00 <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- MISC FEE 0.00 <br /> (952)881-8166 TOTAL 1,998.57 <br /> PAID WITH CC# 9958 <br /> OWNER <br /> KA Reality <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- <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 responsib for. suring all required inspections are <br /> requested in confo an; wit. • fate Building Code.This permit may be <br /> revoked ataxy ' frau=-�Ios <br /> 1. <br /> zApict c it • tee rgnature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />