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- CITY OF ORONO <br /> * 2016 - 01141 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1300 VINE PL <br /> PIN 07-117-23-42-0002 <br /> LEGAL DESC REG. LAND SURVEY NO.0488 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 3474 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.74 <br /> DEAN'S PROFESSIONAL PLUMBING MAIL-IN FEE 2.00 <br /> 7400 KIRKWOOD CT <br /> TOTAL 53.74 <br /> MAPLE GROVE,MN 55369- <br /> Payment(s) <br /> (612)817-0438 <br /> Minnesota State License#:BUIL-62187PM CHECK 9894 53.74 <br /> OWNER <br /> STERLING,RICK&KRISTINE <br /> 1300 VINE PL <br /> MOUND,MN 55364- <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 /> &:,="d ) 6 '�'M --a ` 1 <br /> Applicant Permitee Signature Date Issued B ignature Date <br />