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CITY OF ORONO PERMIT NO.: 2011-00239 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 04/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 465 TURNHAM RD <br /> PIN 31-118-23-24-0013 <br /> LEGAL DESC TURNHAM TOLL ADDITION <br /> LOT 001 BLOCK 003 <br /> PERMIT TYPE PLUMBING(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE <$500 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG <$500 5.00 <br /> 3670 DODD ROAD-SUITE 100 ( ) <br /> EAGAN,MN 55123- MAIL-IN FEE 2.00 <br /> O MISC FEE 0.00 <br /> Minnesota State License#: 6177OPM TOTAL 22.00 <br /> OWNER <br /> CADY,PAUL <br /> 465 TURNHAM RD <br /> MAPLE PLAIN,MN 55359 <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 /> UA4;4 C-01- <br /> Applicant Permttee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. <br /> t <br />