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� CITY OF ORONO * Z 0 1 6 — 0 1 3 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1UO3/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 235 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0019 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER RGPLACEMENT <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> ECOWATER MAIL-IN FEE 2.00 <br /> 3208 FIRST STREET S <br /> WAITE PARK,MN 56387- TOTAL 52.50 <br /> (320)251-2505 Payment(s) <br /> Minnesota State License#:plbg-PC643402 CREDIT CARD 2893 52.50 <br /> OWNER <br /> QUADERER,BRYAN <br /> 235 CRESTVIEW AVE <br /> LONG LAKE, MN 55356- <br /> AGRF.EMENT AND SWORN STATEMENT <br /> The work for which Ihis permit is issued shall be perfomied 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 docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not spccified 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 /> suspendcd for�period of 180 days at any time after 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 /> � <br /> �. /li � i /(� <br /> Applicant Permitee Signature Date Issued B Signature Date <br />