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CITY OF ORONO PERMIT NO.: 2009-oo�6s <br /> �' 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 10/28/2009 <br /> t 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3890 SHORELINE DR <br /> PIN : 17-117-23-33-0004 <br /> LEGAL DESC : LJNPLATTED 17 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT WATER HEATER 15.00 <br /> HELD,EDWARD&MARSHA STATE SURCHARGE PLBG(<$500) 0.50 <br /> 3890 SHORELINE DR <br /> WAYZATA,MN 55391 TOTAL 15.50 <br /> OWNER <br /> HELD,EDWARD&MARSHA <br /> 3890 SHORELINE DR <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,applicabie 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 l 80 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 conformance with the State Building Code.This permit may be <br /> revoked ime for due cause. <br /> ` �/�1��' l�Y l l <br /> App�cant Permit e Si ature Date Issued y S' ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABO <br />