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! . � <br /> CITY OF ORONO * Z 0 1 6 - 0 0 8 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2100 SHADYWOOD RD <br /> PIN : 17-117-23-31-0041 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: (2) WATER HEATERS <br /> VALUATION OF PLUMBING 8500 <br /> APPLICANT PLUMBING FIXTURE FEE 106.25 <br /> STATE SURCHARGE PLBG(VALUATION) 4.25 <br /> AIR MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE,MN 55304 TOTAL 112.50 <br /> (763)4347747 Payment(s) <br /> Minnesota State License#:mech-MB005122 CHECK 048081 112.50 <br /> OWNER <br /> TAMTE,MICHEAL&MEGAN <br /> 2100 SHADYWOOD RD <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 dces <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 aze <br /> requested in wnformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��'l�C...ec-c�cc�.� 'f�%��1� � i �i�� <br /> Applicant Permitee Signature Date Issued y Signature Date <br />