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' CITY OF ORONO PEaM�T No.: 2oio-oo9�3 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/1U2010 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 248 CYGNET PL <br /> PIN : 04-117-23-23-0017 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 008 BLOCK 003 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 1 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 55.00 <br /> (952)933-I 868 <br /> OWNER <br /> MOL[N, DEAN � <br /> 248 CYGNET PL <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd 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 /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.'I�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> I he applicant is responsible for assuring all required inspections are <br /> requested in co formance with the State Building Code.This permit may be ) <br /> r- �ed at ry tii e fo uc cause. ���� <br /> � � � �,�.�_ � C�� 1 lCt�7 � �C� �� � <br /> Applicant Pennitee Signaturc Date � Issued By g ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />