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CITY OF ORONO II I I I I I II I I� 1 13 0IHV II I* 20 I II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/16/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1802 LAKEVIEW TER <br /> PIN : 27-118-23-43-0006 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 002 BLOCK 004 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER HEATER(I) <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> CITY VIEW PLUMBING&HEATING MAIL-IN FEE 0.00 <br /> 1880-B WAYZATA BLVD W <br /> P.O. BOX 150 TOTAL 50.50 <br /> LONG LAKE,MN 55356 Payment(s) <br /> (952)473-8793 CHECK 50.50 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> ANDREASEN,GRANT&PATRICIA <br /> 1802 LAKEVIEW TER <br /> LONG LAKE,MN 55356- <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />