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CITY OF ORONO * z 0 1 6 - 0 0 5 0 2 * <br /> 2750 KELLEY PARKWAY DATE 1SSUED: OS/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 102 CHEVY CHASE DR <br /> NIN : 36-118-23-41-0031 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 026 BLOCK 00] <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: 1 WATER HEATER <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.38 <br /> COMMERS, INC. <br /> 9150 35W SERVICE DR NE MAIL-IN FF,E 2.00 <br /> BLAINE, MN 55345- TOTAL 52.38 <br /> (612)780-0555 Payment(s) <br /> CREDIT CARD 5599 52.38 <br /> OWNER <br /> YOKIEL, SCOTT&JENNIFER <br /> ]02 CHEVY CHASE DR <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 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 au[horized is not <br /> commenced within 180 days of the date of issuance,or if construc[ion 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 /> � ____ I <br /> J� ( �-� � �--'�=, ;. 4 � I� �C_ /r <br /> 1 r l� ��C� � � <br /> Applicant Permitee Signature Date Iss d E3 ignature ` Date <br />