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_ CITY OF ORONO * z 0 1 4 - 0 1 4 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : l0 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0009 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ECOWATER STATE SURCHARGE PLBG (<$500) 5.00 <br /> 3208 FIRST STREET S MAIL-IN FEE 2.00 <br /> WAITE PARK, MN 56387- TOTAL 22.00 <br /> (320)251-2505 Payment(s) <br /> CREDIT CARD 3331 22.00 <br /> OWNER <br /> FREELAND, BRYAN <br /> 10 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> ihe work for which this permit is issued shall be perfbrmed according to <br /> the approved plans and specifications,applicablc City approvals,and thc <br /> State F3uildinb 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 compied with whether or not specified herein.This permit will <br /> expire and become null and void ifconstruction 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 /> 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. f � <br /> ��1 � L�--`� .�-� L�.., �'�n.C_C���'1 1 � � � � / <br /> Applicant Permitee Signature Date Issued Bv Signature Date <br />