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CITY OF ORONO * Z QJ 1 4 - 0 0 3 1 4 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2014 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2003 SUGARWOOD DR <br /> PIN � : 34-118-23-21-0010 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> LEGACY MECH SERVICES STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> 114 THOMAS CIRCLE#106 MAIL-IN FEE 2.00 <br /> MONTICELLO,MN 55362- MISC FEE 0.00 <br /> (763)314-0877 TOTAL 53.50 <br /> Payment(s) <br /> CHECK 7185 53.50 <br /> OWNER <br /> BRINK,JEFFREY&VICTORIA <br /> 2003 SUGARWOOD DR <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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� B�� i i <br /> Applicant Permitee Signature Date Issued By S' ature Date <br />