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CITY OF ORONO * 2 0 1 z — 0�� <br /> ,, 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012 <br /> ORONO, MN 55356- <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3438 LIVINGSTON AVE <br /> PIN : 17-1 17-23-43-0020 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 019 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMB[NG 1 100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BOB JASPER PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.55 <br /> 5840 ENSIGN AVE N <br /> NEW HOPE, MN 55428- MAIL-IN FEE 2.00 <br /> (763)234-7240 TOTAL 52.55 <br /> Minnesota State License#: 059797 PAID WITH CC# 8283 <br /> OWNER <br /> MESSETH/CAOLA, MARK& SUSAN <br /> 3438 LNINGSTON AVE <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The��ork for which this permit is issued 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 /> 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 after work has commenced. <br /> 'I'he applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Buiiding Code.This permit may be <br /> revoked at any time for d cause. � � <br /> �� . , , ,. �'� <br /> / <br /> .� � � �-y�,�.�' o7�r�cc�� ,� _ ��- --j� <br /> Applicant Vermit e S�gn ure Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />