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CITY OF ORONO * Z 0 1 4 - 0 0 5 9 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/1 U2014 <br /> � ORONO,MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 625 SPRING HILL RD <br /> PIN : 25-118-23-33-0003 <br /> LEGAL DESC : UNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 1342 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CITY VIEW PLUMBING& HEATING STATE SURCHARGE PLBG(VALUATION) 0.67 <br /> 1880 WAYZATA BLVD W TOTAL 50.67 <br /> P.O.BOX 150 Payment(s) <br /> LONG LAKE, MN 55356 CHECK 34570 50.67 <br /> (952)473-8793 <br /> OWNER <br /> HAWN,VAN ZANDT&ELIZABETH <br /> 625 SPRING HILL 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 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 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 time for due cause. <br /> 1� � Il � � <br /> Applicant Permitee ' ature D te Issued By S' ature Date <br />