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` CITY OF ORONO * 2 0 1 6 - 0 1 4 3 5 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 690 I3ROWN RD N <br /> PIN : 34-118-23-12-0007 <br /> LEGAL DF,SC : t1NPLnTTED 34 118 23 <br /> : I,O'[' 000 BLOCK 000 <br /> PERMIT TYPI�: : 1'LlJME3[NG <br /> PROPERTY Tl'1'I: : I:ESIDGNTIAL <br /> CONSTRUC7'1O�' "1'YPE : �VAI�ERHEATER <br /> NOTE: REPLACI'."��.�'I"I:R f ILA"I'GR <br /> VALUATION (�I� ��� "`�113ING 1500 <br /> ,�PPLICAN'1� PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 1.00 <br /> APPLIANCE CO�"�:i:C"CIONS, [1�'C, MAIL-IN FEE 2.00 <br /> 12850CHESTNI''; 13LVD <br /> SHAKOPEE, I�1� ��79- TOTAL 53.00 <br /> (952)445-4803 Payment(s) <br /> Minnesota State I i_��i�sc'i�: mech-NI[3004165 CHECK 8563 53.00 <br /> O�'VNI?1Z <br /> LARSON, ERIC��� ��'I�RI;n <br /> 690 BRO�'�N iZ� � <br /> LONG LAK E, �1� ��,�C- <br /> AGREf�:i\I i_, i :�ND SW012N S7'ATEMENT <br /> The work for ti�hich t��� ��crmit is issued sh;�Jl hc pertivmed aecording to <br /> the approved pl;�n;:��.�, � :_ii'ications,appli�ablc Ciry�pprovals,and the <br /> State[3uilding Codc �I��,i,pcnnit is for onl��thc�+�ork described and does <br /> not grant permission !��:��.,!.litional or rclated���ork�chich requires separate <br /> permits. All provisio r ���n��s a��:�l��rJii:;�naes governing this type of work <br /> shall be compicd��i�.l � '�:r or nut�pc�il��,cd hercin.This permit will <br /> expire and becom���n�'� � ��oid if conslruction authorized is not <br /> commenced withi�i I �,of thc datc of i;suance,or ifeonstruction is <br /> suspended for a perin.l��f I SO days at any timc aficr�vork has commenced. <br /> The applicant is res;;;c��.:;.�i,r assurinn all rcquircd inspections are <br /> requested in conf��nn�n�,�,���iih the Statc[3uildin��Code.This permit may be <br /> revoked at any tinic I:�r,�-��.�,��ct�usc. <br /> . <br /> L �V l l � <br /> Applicant Pcrni�.�.�. � � ����urr Uate Issued Signature Date <br />