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r CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 15 - 01 <br /> 2 3 <br /> DAT0 E ISSUED: 08/11 2/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 3750 NORTHERN AVE <br /> PIN : 17-117-23-34-0087 <br /> LEGAL DESC : REG.LAND SURVEY NO.0763 <br /> LOT 1 BLOCK I <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"WATER METER <br /> SERAIL NUMBER-53314735 <br /> ERT HIGH# 1852891582 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 294.42 <br /> WATER METER RESIDENTIAL HORN 80.42 <br /> NORTH ANOKA PLUMBING TOTAL 374.84 <br /> 22590 RUM RIVER BLVD.N.W. Payment(s) <br /> MN 55070- CREDIT CARD 7809 374.84 <br /> (763)753-3373 <br /> Minnesota State License#:plbg-PC642884 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> MAPLE GROVE,MN 55369- <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 /> Applicant Permitee Signature Date Issued By ature Date <br />