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CITY OF ORONO * Z pJ 1 5 - 0 1 5 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3348 BAYSIDE RD <br /> PIIV : OS-117-23-14-0064 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE WATER HEATER <br /> VALUATION OF PLUMBING 1400 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.70 <br /> MR. ROOTER PLUMBING TOTAL 50.70 <br /> 5155 E. RIVER ROAD <br /> FRIDLEY,MN 55421- Payment(s) <br /> (763)551-0555 CREDIT CARD 7060 50.70 <br /> Minnesota State License#:plbg-PC 647331 <br /> OWNER <br /> SELANDER,LORl <br /> 3348 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORIv STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[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 wi[h 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 se. � �'���� <br /> ��,� /" <br /> � � '/ 1-� � �'�� I��E_1 � i� ��, --� , , _ <br /> Applican rmitee Si ature Date Issued By Signature Date <br />