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« '- CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 DJ 8 1 8 * <br /> DATE ISSUED: 07/2U2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 680 NORTH ARM DR <br /> PIN : 06-117-23-43-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 362 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE:WATER HEATER <br /> VALUATION OF PLUMBING 1800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.90 <br /> GIRARD, SANDRA&BRIAN TOTAL 50.90 <br /> 680 NORTH ARM DR Payment(s) <br /> MOLJND,MN 55364- CHECK 10710 50.90 <br /> OWNER <br /> GIRARD, SANDRA&BRIAN <br /> 680 NORTH ARM DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work 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 /> 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 /> -� _ � ' -�-�'.� �' 7 � �-3 <br /> �'' U �z l � <br /> plicant errrtitee Signafure Date ' Issued y Si ture Date <br />