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CITY OF ORONO PERM IT NO.: 2010-00013 <br /> " 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE ISSUED: OU07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3393 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0020 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICAIVT WATER HEATER 15.00 <br /> NORBLOM PLUMBWG CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS, MN 55408- MAIL-[N FEE 2.00 <br /> (612) 827-4033 TOTAL 17.50 <br /> OWNER <br /> PRICE, MARY <br /> 3393 CRYSTAL BAY RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for�chich this permit is issucd shall be performed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Buildinc Code. This permit is for only the work described and does <br /> not grant permission tor additional or related work which requires scparate <br /> permits. All provisions oC laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.'fhis permit will <br /> cxpire 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 atter work has commenced. <br /> The applicant is responsible for assurine all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for d�e cause� <br /> `%�/Y�l�--t—e �- l l l l <br /> Applicant Permitce Signature Date Issucd By Si turc ate_ <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OV . <br />