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CITY OF ORONO PERMIT NO.: 2012r00053 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- �ATE [SSUEn: OU25/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2732 CAROLINE AVE <br /> PIN : 20-117-23-24-0041 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1451 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYFE : PLUMBING(<$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPL[CANT PLUMBING FIXTURE FEE(<$500) I5.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG (<$500) 5.00 <br /> 3670 DODD ROAD-SU[TE 100 <br /> EAGAN, MN 55123- MAIL-IN FEE 2.00 <br /> O MISC FEE 0.00 <br /> TOTAL 22.00 <br /> OWNER <br /> PERCIVAL,CI-iARLES& SUSAN <br /> 2732 CAROLINE AVE <br /> WAYZATA, 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 specitications,applicabie 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 /> 7'he applicant is responsible for assunng all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for dueLause. <br /> �iV� VY�. l l � l l <br /> Applicant Pennitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OVE. <br />