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` CITY OF ORONO PERMIT NO.: 2010-00113 <br /> 2750 KELLEY PARKWAY <br /> r - ORONO, MN 55356- DATE ISSUEn: 02/26/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 50 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0006 <br /> LECAL DESC : REG. LAND SURVEY NO. 0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: INSEPCTIONS ARE DONE BY PU[3LIC WORKS DEPAR"[�MENT. <br /> TO SET-UN AN INSPF,CTION,PLEASE CALL: (952)249-4613 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 394.67 <br /> EARL W. DAY& SONS, INC. WATER METER RES[DENTIAL HORN 104.45 <br /> P.O. BOX 294 <br /> LONG LAKE, MN 55356 MISC FEE 0.00 <br /> �� TOTAL 499.12 <br /> OWNER <br /> CHAMPLIN, MR. &MRS. <br /> 50 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he work for which this permit is issued shall be performcd according to <br /> the approved plans and specitications,applicable City approvals,and thc <br /> State Building Code. "l�his permit is for only the work described and docs <br /> not grant pennission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances goveminb 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 l80 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 applicant is responsible for assuring all required inspections are <br /> re ested in c mance the State Building Code.'rhis permit may bc <br /> r v ec�.�an ti for e use. <br /> � �l a(� � !c� p ��YK..GL��, � � <br /> Applicant P mitee Signature Date Issued By Si ature Dat <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OV <br />