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� � <br /> CITY OF ORONO * 2 0 1 6 — 0 0 1 e 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2100 SIXTN AVE N <br /> PIN : 27-118-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACING:2 WATER HEATERS <br /> VALUATION OF PLUMBING 2760 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 138 <br /> JD PLUMBING TOTAL 51.38 <br /> 10168 BOONE CIRCLE Payment(s) <br /> BLOOMINGTON,MN 55438- CREDIT CARD 7012 51.38 <br /> (952)270-3062 <br /> Minnesota State License#:plbg-PC665983,mech-MB665979 <br /> OWNER <br /> Orono Woodlands <br /> 2100 SIXTH AVE N <br /> LONG LAKE,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 permit is for only the work described and dces <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 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 confortnanc ith the State Building Code.This permit may be <br /> revoked at ' e f ue cause. <br /> � � d�l/.� <br /> Appli t Permitee Signature Date s ue y Signature Date <br />