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� - ' CITY OF ORONO * 2 B 1 2 - 0 � 8 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 131 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0021 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> • PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REP[�ACG WATER HEATGR <br /> VALUATION OF PLUMB[NG 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUATION) 0.75 <br /> 9714 WOODCREST CT <br /> MONTICELLO, MN 55362- MAIL-IN FEE 2.00 <br /> (763)219-8978 TOTAL 52.75 <br /> PAID WITH CC# 0723 <br /> OWNER <br /> MOYNEUR, PATRICK <br /> 131 CHEVY CHASE DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork 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 construc[ion 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 E3uilding Code.This permit may be <br /> revoked at any ti�ne for due cau e. <br /> , 8�� 17 � 1 �- ��- �' l17 / l7- <br /> Applicant Permitee Signa ure Date ssue y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />