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CITY OF ORONO PERMIT NO.: 2011-00630 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE�SSUE�: 07/12/2011 <br /> r 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 CRYSTAL CREEK RD <br /> PIN : 33-1 l 8-23-33-0003 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTG: BEING INSTALLED BY HOMEOWNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> REYNOLDS, DOUGLAS&JOANN STATE SURCHARGE PLBG(<$500) 5.00 <br /> 75 CRYSTAL CREEK RD TOTAL 20.00 <br /> LONG LAKE, MN 55356 <br /> PAID W[TH CASH 2O.00 <br /> OWNER <br /> REYNOLDS, DOUGLAS&JOANN <br /> 75 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant perniission for additional or related work which requires separate <br /> permits. All provisions of laws 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time at3er work has commenced. <br /> The app cant is responsible for assuring all required inspections are <br /> reques in conformance with the State Building Code."I'his permit may be <br /> revokG'd t any time f�ue ca se. <br /> � /'� 7/ l0� l ll l l <br /> Appl' ant Permitce Sig ture Date Issued B�� � nature ate <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCR[BED ABO <br />