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� � CITY OF ORONO * 2 PJ 1 3 - 0 Pl 1 6 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1480 BRACKETTS POINT RD <br /> PIN : 11-117-23-33-0005 <br /> LEGAL DESC : BRACKETTS POINT <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> RANDY LANE& SONS PLUMB &HEAT STATE SURCHARGE PLBG (VALUATION) 0.50 <br /> 1501 WEST BROADWAY <br /> MINNEAPOLIS, MN 5541 1 TOTAL 50.50 <br /> (612)521-8835 <br /> Minnesota State License#: 001962PM <br /> OWNER <br /> HEADRICK, MARK&LAURIE <br /> 1480 BRACKETTS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work 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 construction au[horized 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 conf'ormance with the State Building Code.This permit may be <br /> revoked at any time for e cause. <br /> �.�/Q �r•--- 3 , /� , �3 (��;�c-� � ���--�� <br /> Applicant Permitee Signature Date Is u By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />