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CITY OF ORONO * z 0 1 4 -0� 8�6 8� <br /> 2 7 5 0 K E L L E Y P A R K WAY DATE ISSUED: 08/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3300 CARMAN RD <br /> PIN : 20-117-23-14-0015 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING I500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> LEGACY MECH SERVICES MAIL-IN FEE 2.00 <br /> 1 14 THOMAS CIRCLE#106 TOTAL 52.75 <br /> MONTICELLO, MN 55362- <br /> (763)314-0877 Payment(s) <br /> CREDIT CARD 6552 52.75 <br /> OWNER <br /> NIELSEN, JOAN <br /> 3300 CARMAN RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1�he 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 compicd with whether or��ot specitied 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 commcnced. <br /> "I�he applicant is responsible for assuring all required inspections are <br /> rcquested in conlom�ance with[he State E3uilding Code.This permit may be <br /> rcvoked at any time for due cause. <br /> i <br /> \� l�� � / / <br /> Applicant Permitce Signatin�c Date Issucd By Si ture ate <br />