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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 1 - 0 1 0 1 <br /> DATT E ISS - <br /> 0830/20162016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 746 TONKAWA RD <br /> PIN 05-117-23-34-0005 <br /> LEGAL DESC PARTENS POINT 1ST DIV <br /> LOT 011 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.30 <br /> APPLIANCE CONNECTIONS,INC. <br /> 12850 CHESTNUT BLVD MAIL-IN FEE 2.00 <br /> SHAKOPEE,MN 55379- TOTAL 52.30 <br /> Payment(s) <br /> (952)445-4803 <br /> Minnesota State License#:mech-MB004165 CHECK 8265 52.30 <br /> OWNER <br /> CALDWELL,EDWARD&MARY <br /> 746 TONKAWA RD <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 separate <br /> permits. All 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 /> revoked at any time for due cause. <br /> 6 <br /> 114��� ) o $ ��/ Ito <br /> Applicant Permitee Signature Date Issued fyrignature Date <br />