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CITY OF ORONO * 2 0 1 7 — 0 0 4 e 0 * <br /> � . }`' 2750 KELLEY PARKWAY <br /> DATE ISSUED: OS/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1940 SHORELINE DR <br /> PIN : 10-117-23-42-0007 <br /> LEGAL DESC : ELBRIDGE S BARNES 1ST SUBD 10- <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE:WATER HEATER <br /> VALUATION OF PLUMBING 950 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.48 <br /> NORTHERN EDGE PLUMBING&SERVICE TOTAL 50.48 <br /> 31344 103RD Payment(s) <br /> PRINCETON, MN 55371- CHECK 3279 50.48 <br /> (612)406-7859 <br /> Minnesota State License#:plbg-PC689486,mech-MB689499 <br /> OWNER <br /> NETTLES,ALAN&ANNE <br /> 1940 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMEI�T 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. AII 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 /> rev at any time for due cause. � � � � <br /> �',�,,l <br /> � s �Z 2�1 �-�.�.c�.� '� `��_<'l`->�. ��':� y l � <br /> pp ant ermitee Signature D e Issued By Signature Date <br />