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CITY OF ORONO <br /> 1111 01 t II 01 1 II I� 20 i102 li l* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2040 WEBBER HILLS RD <br /> PIN : 03-117-23-34-0016 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 009 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER H €R e%U,4 <br /> NOTE: WATER rT 51EPLACEMENT <br /> peR <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ECOWATER STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3208 FIRST STREET S MAIL-IN FEE 2.00 <br /> WAITE PARK,MN 56387- TOTAL 22.00 <br /> (320)251-2505 Payment(s) <br /> CREDIT CARD 3331 22.00 <br /> OWNER <br /> RILEY,C& E <br /> 2040 WEBBER HILLS RD <br /> ,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 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 /> Appli t Permitee Signature) Date Issued Signature Date <br />