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CITY OF ORONO PERMIT NO.: 2011-01101 <br /> ' "'� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SS[1En: 09/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 120 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0014 <br /> LEGAL DESC : CREEKS[DE IN ORONO <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: 1NSEPCTIONS ARE DONG BY PUBL[C WORKS DL'PAR"I'MENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> 1" NEPTUNE WATER METER <br /> SERIAL#51390854 <br /> ERT HIGH# 1820458142 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 392.92 <br /> BLUE WATER PLUMBING WATER METER RESIDENTIAL HORN 104.45 <br /> 5026 ALPHA ROAD <br /> PRINCETON, MN 55371 MISC FEE 0.00 <br /> (763)238-1002 TOTAL 497.37 <br /> OWNER <br /> GUSTAFSON, MICHAEL& SUSAN <br /> 1000 SHELARD PKWY#300 <br /> MINNEAPOLIS, MN 55426- <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 ot�work <br /> shall be compied with whe[her 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 I 80 days at any time after work has commenced. <br /> The applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. ���� <br /> / / � �-� �/ �/� <br /> Applicant Permitec Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />