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CITY OF ORONO * Z 0 1 4 - 0 1 0 5 3 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2014 <br /> - ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2240 SHADYWOOD RD <br /> PIN : 17-117-23-42-0001 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 5.00 <br /> FREEMAN,CHRISTINE TOTAL 20.00 <br /> 2240 SHADYWOOD RD Payment(s) <br /> WAYZATA,MN 55391- CHECK 13825 20.00 <br /> OWNER <br /> FREEMAN,CHRISTINE <br /> 2240 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,appticable 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 goveming 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 /> � <br /> ����//i / � � / /�// <br /> pplicant Permrtee ignature Date Issue y Signature Date <br />