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• CITY OF ORONO * 2 0 1 6 - PJ 1 2 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1260 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0012 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 004 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) 1.00 <br /> CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN, MN 55123- TOTAL 53.00 <br /> �� Payment(s) <br /> Minnesota State License#: plbg-PC000308,mech-MB005365 CHECK 33434 53.00 <br /> OWNER <br /> WATKINS, KADEE&CHR[S <br /> 1260 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which diis permit is issued shall be performed according to <br /> die approved plans and specifications,applicable Ciry approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pennit 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 construcCion is <br /> suspended for a 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 E3uilding Code.This permit may be <br /> revoked at any time for due cause. , /'� <br /> _ / � <br /> ✓ 3 / 1 � <br /> � _ l D �,v� � `�c S-r� D� <br /> Applicant Permitee Signature Date Issued By S ature Date <br />