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CITY OF ORONO PERMIT NO.: 2009-00664 <br /> 2750 KELLEY PARKWAY <br /> �+ �• ORONO, MN 55356- �ATE [SSUED: 10/02/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3415 HIGH LA <br /> PIN : OS-117-23-12-0017 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT WATER HEATER 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 0.50 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS, MN 55408- MAIL-IN FEE 2.00 <br /> (612)827-4033 MISC FEE 0.00 <br /> TOTAL 17.50 <br /> OWNER <br /> MARKLUND, RI[CHARD <br /> 3415 HIGH LA <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali 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 /> permits. All provisions of laws and ordinances governing 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer wark has commenced. <br /> The applicant is responsible for assuring al]required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for duF cause.� <br /> :Zz� �Lc, l i L� i l <br /> Applicant Permitee Signature Date Issued I3y S� ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />