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CITY OF ORONO '� !i <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 8 - 0 0 3 0 <br /> DAT0 E ISSUED: 03/23/22 018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2300 FOX ST <br /> PIN : 03-117-23-32-0013 <br /> LEGAL DESC : BILL KELLEYS LAND 1ST DIV <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.40 <br /> NORBLOM PLUMBING CO. MAIL-IN FEE 2.00 <br /> 1465 SELBY AVE <br /> ST.PAUL,MN 55104- TOTAL 52.40 <br /> (612)827-4033 Payment(s) <br /> Minnesota State License#:plbg-PC643133 CHECK 12060 52.40 <br /> OWNER <br /> CUNNINGTON,E&K <br /> 2300 FOX ST <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 /> ki-Lft,J_e_04-) 3 �3 /' <br /> Applicant Permitee Signature Date Issued By gnature Date <br />