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CITY OF ORONO <br /> * 2017 - 01674 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 4775 NORTH SHORE DR <br /> PIN : 07-117-23-32-0022 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> LOT 000 BLOCK 006 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER HEATER <br /> NOTE: (1)WATER HEATER <br /> VALUATION OF PLUMBING 600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.30 <br /> APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD <br /> TOTAL 52.30 <br /> SHAKOPEE,MN 55379- <br /> Payment(s) <br /> (952)4454803 <br /> Minnesota State License#:mech- B004165 CHECK 9972 52.30 <br /> M <br /> OWNER <br /> WASSCHER,BEN&KATRINA <br /> 4775 NORTH SHORE 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />