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� w <br /> CITY OF ORONO <br /> * 2018 - 00301 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2018 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX 952 249-4616 <br /> ADDRESS 305 WILLOW DR S <br /> PIN 04-117-23-14-0002 <br /> LEGAL DESC AUDITOR'S SUBD.NO.229 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> DEAN'S PROFESSIONAL PLUMBING MAIL-IN FEE 2.00 <br /> 7400 KIRKWOOD CT <br /> MAPLE GROVE,MN 55369- TOTAL 53.00 <br /> (612)817-0438 Payment(s) <br /> Minnesota State License#:BUIL-62187PM CREDIT CARD 8163 53.00 <br /> OWNER <br /> CARPENTIER&ALEX CARPENTIER,ANN <br /> 305 WILLOW DR S <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 atany time <br /> for due cause. <br /> f)la'ili` .3 l& �/ <br /> Applicant Permitee Signature Date Issue y Signature Date <br />