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CITY OF ORONO PERMIT NO.: 2010-01204 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE tssuEn: 12/22/2010 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> A�DRESS : 2195 BAYVIEW PL <br /> PIN : 17-117-23-43-0001 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPL[CANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 5.00 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS, MN 55408- MAIL-IN FEE 2.00 <br /> (612)827-4033 MISC FEE 0.00 <br /> TOTAL 22.00 <br /> OWNER <br /> MEYERS, RICHARD&JANICE <br /> 2195 BAYVIEW PL <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be pertormed according to <br /> the approved plans and specitications,applicable City approvals,�nd 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 whedier or no[specified herein.This permit will <br /> expire and become null and void if construction authorized is no[ <br /> commenced�vithin I 80 days of the date o1'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 confonnance�vith the State Building Code.This permit may be <br /> revoked at any time for duc cause. <br /> �����'�,u„'l tr7� � � ���-,µ'Y' l l <br /> Applicant Permitee Signature Date Issued By i nature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />