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' 111 1 111111 II II 1111 1111 II <br /> CITY OF ORONO * 2 0 1 4 - 0 0 3 4 2 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/21/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 420 ORCHARD PARK RD <br /> PIN : 32-118-23-23-0006 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 008 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: (2)WATER HEATERS <br /> VALUATION OF PLUMBING 1990 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> KAL'S PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> 18256 SOUTH DIAMOND LAKE COURT TOTAL 51.00 <br /> DAYTON, MN 55327- <br /> Payment(s) <br /> (612)473-4433 CREDIT CARD 6038 51.00 <br /> Minnesota State License#: plbg-PC645592 <br /> OWNER <br /> PETERSON,WILLIAM&LYNAE <br /> 420 ORCHARD PARK 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 /> 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 /> 2/ //V <br /> licant Pe tee Signature DateIssu1 1 By Signature Date <br />