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� � <br /> CITY OF ORONO * Z 0 1 6 - 0 0 9 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 525 KEENE AVE <br /> PIN : 02-117-23-31-0027 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 015 <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 /> 3/4"NEPTLTNE METER <br /> SER[AL NUMBER 53466878 <br /> ERT HIGH# 154007800 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 294.42 <br /> WATER METER RESIDENTIAL HORN 97.57 <br /> LARSON PLUMBING INC. TOTAL 391.99 <br /> 3095 162ND LANE NW Payment(s) <br /> ANDOVER,MN 55304 CHECK 30902 391.99 <br /> (763)427-7680 <br /> Minnesota State License#:plbg-0841699 <br /> OWNER <br /> H&J Development Prtnrshp <br /> DETTLOFF, HB&JC <br /> 1001 TWELVE OAKS CENTER DR#10 <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 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with t State Building Code.This permit may be <br /> revoked at any time r c e. <br /> � � �- �l $ �, � �/� <br /> App � nt Permitee Signature � t Issoed By ' nature Date <br />