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. CITY OF ORONO * 2 0 1 6 - 0 1 3 5 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED; 10/24/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 BROWN RD S <br /> PIIY : 03-117-23-21-0001 <br /> LEGAL DESC : LTNPLATTED 03 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER HGATER REPLACEMENT <br /> VALUATION OF PLUMBING 6500 <br /> APPLICANT PLUMBING F[XTURE FEE 81.25 <br /> STATE SURCHARGE PLBG(VALUATION) 3.25 <br /> PRONTO HEAT[NG&AC MAIL-IN FEE 2.00 <br /> 7415 CAHILL RD <br /> EDINA, MN 55439- TOTAL 86.50 <br /> (952)835-7777 Payment(s) <br /> Minnesota State License#: mech-MB004828 CREDIT CARD 8852 86.50 <br /> OWNER <br /> OTTO&JOLLY NANDA, MICHAEL <br /> 25 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for wfiich this permit is issued shall be performed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State E3uilding 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. Ali provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit�vill <br /> expire and bccome 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 Bui(ding Code.This permit may be <br /> revoked at any time for due cause. <br /> C�l/(.—�t�(,�C�:;� % ��-�/ � �l� / /�� <br /> Applicant Permitee Signature " Date Issued Signature Date <br />