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* ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 4 2 9 * <br /> DATE ISSUED: 04/26/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1978 SHADYWOOD RD <br /> PIN : 17-117-23-24-0026 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER REPLACEMENT <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7415 CAHILL RD <br /> EDINA,MN 55439- TOTAL 53.50 <br /> (952)835-7777 Payment(s) <br /> CHECK 11863 53.50 <br /> OWNER <br /> PETERS,BRIAN <br /> 1978 SHADYWOOD ROAD <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 dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. 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 I80 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.'fhis permit may be <br /> revoked at any time for due cause. � <br /> � �, a�,�� <br /> Applicant Permitee Signatur Date Is ued By ature Date <br />