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CITY OF ORONO PERMIT NO.: 2010-00901 <br /> 2750 KELLEY PARKWAY <br /> • > ORONO, MN 55356- �ATE ►SS[1�n: 09/27/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 745 BRIDGEWATER DR <br /> PIN : 33-118-23-11-0108 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTiAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NO'I'E: INSBPC"TIONS ARE DONE BY PUBLIC WORKS DEPARTMEN"C. <br /> TO SET-UP AN INSPGCTION,YLEASE CALL: (952)249-4613 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RES[DENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 268.05 <br /> PLUMB RIGHT WATER METER RESIDENTIAL HORN 66.83 <br /> 1216 82ND AVE N <br /> BROOKLYN PARK, MN 55444- TOTAL 334.88 <br /> (763)561-3306 <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 l OTH AVE N <br /> PLYMOUTH,MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he 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 tor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not specified herein.This permit will <br /> expirc and become null and void if construction authorized is not <br /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The appiicant is responsible for assuring all required inspections are <br /> requcsted in contormance wi[h the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applieant Permitee Signature Date Issued 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />