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CITY OF ORONO I I 111 i I It � I,',' <br /> * 2018 - 00430 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1729 NORTH FARM RD <br /> PIN : 27-118-23-44-0018 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: (1)WATER HEATER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> CITY VIEW PLUMBING&HEATING TOTAL 51.00 <br /> 1880-B WAYZATA BLVD W <br /> P.O.BOX 150 Payment(s) <br /> LONG LAKE,MN 55356 CHECK 37778 51.00 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> FIELD,MR.&MRS.BENJAMIN <br /> 1729 NORTH FARM RD <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 /> nded for a period of 180 days at any time after work has commenced. <br /> The • : icant is responsib - or assurin required inspections are <br /> requested conformance w h the Stat B 'Iding Code.This permit may be <br /> revoked at• time for ecause. <br /> �'' /Pier— y 1 i 9 1/7 <br /> ice"Pe itee Signature �ate Issue y Signature Date <br />