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� Y CITY OF ORONO PERMIT NO.: 2011-01142 <br /> • . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 753 BOULDER DR <br /> PIN : 33-118-23-11-0074 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> 3/4"WA'1'ER METER- <br /> SERIAL# 52239034 <br /> ERT HIGH# 18317130�4 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RES[DENT[AL 303.70 <br /> K& S PLUMBING LLC WATER METER RES[DENT[AL HORN 86.64 <br /> 9572 KNOX AVE.N. <br /> BROOKLYN PARK, MN 55444- TOTAL 390.34 <br /> (763)425-8760 <br /> Minnesota State License#: 065380-PM <br /> OWNER <br /> O.T. Development, LLC <br /> LLC, O.T. DEVELOPMENT, <br /> 2670 KELLEY PKWY <br /> ORONO, MN 55356- <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 permiL is for only the work described and does <br /> not grant permission for additional or related�vork which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 onformance with the State E3uilding Code.This permit may be <br /> revoke ny ti e se. <br /> ol l,��=i l l <br /> i i <br /> �Appl'cant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />