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! CITY OF ORONO * Z 0 1 3 — PJ 0 7 4 9 * <br /> ` 2750 KELLEY PARKWAY �ATE �ssuEu: 07/3U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1755 CONCORDIA ST <br /> PIN : 17-117-23-22-0018 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 012 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUME3ING 2850 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PRONTO HEATING& AC STATE SURCHARGE PLBG(VALUATION) 1.43 <br /> 7588 WASHINGTON AVE S <br /> EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 <br /> (952) 835-7777 TOTAL 53.43 <br /> OWNER <br /> KOHRS, DOUGLAS <br /> 1755 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The��ork 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 /> no[grant permission for addi[ional 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.�Chis permit will <br /> expire and become null and void it�cons[ruction 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 aze <br /> requested in conformance with jhc State[3uilding Code."1'his permit may be <br /> revoked at any time for due cause. <br /> ��'�'t-�� �' / / l l <br /> Applicant Permitee Signature Date Issued By S�� ature - aYe <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />