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CITY OF ORONO 111111111111111111111111 1 1 1 1 11 1 1I <br /> * 20 1 8 - 00 1 2 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/07/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3559 LYRIC AVE <br /> PIN : 17-117-23-43-0105 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 007 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE WATER HEATER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN,MN 55123- TOTAL 53.00 <br /> () Payment(s) <br /> Minnesota State License#: plbg-PC000308,mech-MB005365 CHECK 1709 53.00 <br /> OWNER <br /> WEBER,THOMAS <br /> 3559 LYRIC AVE <br /> WAYZATA,MN 55391- <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 /> c� /p ��(,t) t-kb 7 / 1(5> <br /> Applicant Permitee Signature Date Issued By ature Date <br />