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1 <br /> CITY OF ORONO PERMIT NO.: 2011-00233 <br /> �` 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE issuEv: 04/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2002 SUGARWOOD DR <br /> PIN : 34-118-23-21-0003 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> ; CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS,MN 5540& MAIL-IN FEE 2.00 <br /> (612)827-4033 MISC FEE 0.00 <br /> TOTAL 22.00 <br /> OWNER <br /> GILL,MR&MRS RICHARD <br /> 2002 SUGARWOOD DR <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `7yL�C. �� l l __ - l l <br /> Applicant Permitee Signature Date Issued B ignature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />