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CITYOFORONO * z0 1 � — PJ0460 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2013 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1400 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0020 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: FOR 1420 BRnCKE'I'"I'S PT RD <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3670 DODD ROAD- SUITE 100 <br /> EAGAN, MN 55123- MAIL-IN FEE 2.00 <br /> �� TOTAL 22.00 <br /> OWNER <br /> JUNDT, JAMES & MARY <br /> P.O. BOX 1 <br /> CRYSTAL BAY, MN 55323- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordine to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "this permi[is for only thc 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 penni[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 /> l�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.'l�his permit may be <br /> revoked at any time for due caus�. <br /> .._Y r"�—— " �� l l l l <br /> Applicant Permitee Signature Date Issued By � nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. <br />