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'^.11111 II1111 II II 1111111 111 <br /> CITY OF ORONO * 2 0 1 - 00J 9 9 2 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2630 WEST LAFAYETTE RD <br /> PIN : 21-117-23-24-0044 <br /> LEGAL DESC : SHORE HILLS <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 INSPECTION,PLEASE CALL:(952)249-4613 <br /> THIS PERMIT IS FOR 5/8"HORNS ONLY-NOT A METER <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 0 <br /> APPLICANT <br /> DENNIS WEDGE WATER METER RESIDENTIAL 0.00 <br /> 614 THIRD AVE SW WATER METER RESIDENTIAL HORN 68.97 <br /> HUTCHINSON, MN 55350 TOTAL 68.97 <br /> (612)801-5260 <br /> OWNER <br /> ETAL,THOMAS LOWE <br /> 2630 WEST LAFAYETTE RD <br /> EXCELSIOR,MN 55331 <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 /> revoked at any time for due cause. <br /> / / 9/2 ��/3 <br /> Applicant Permitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />