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• CITY OF ORONO * 2 0 1 6 - 0 DJ 5 4 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1280 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0019 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATERHEATER <br /> NOTE: REPLACE WATER HEATER <br /> VALUATION OF PLUMBING 2400 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.20 <br /> EARL W. DAY&SONS,INC. TOTAL 51.20 <br /> 520 BRIMHALL AVE Payment(s) <br /> P.O. BOX 294 CHECK 6265 5120 <br /> LONG LAKE,MN 55356 <br /> (952)473-8403 <br /> OWNER <br /> STOCKTON, RICHARD& LARISSA <br /> 1280 BRACKETTS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The 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 Iaws and ordinances goveming 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 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be � <br /> revoked at any time for due cause. <br /> f � ,-� �._-��-t-s � <br /> �7��r� �2���-� � ��.�-"� �`� �9'i<�, <br /> Applicant Permit ignature Date Issued By Signature Date <br />