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CITY OF ORONO * 2 0 1 2 - 0 0 6 3 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/03/2012 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2555 FOX ST <br /> P[N : 04-117-23-44-0002 <br /> LEGAL DESC : AUDITOR'S SUBD. NO.229 <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUATION) 0.75 <br /> 9714 WOODCREST CT <br /> MONT[CELLO, MN 55362- MAIL-[N FEE 2.00 <br /> (763)219-8978 TOTAL 52.75 <br /> OWNER <br /> ECKERLINE, MR.& MRS. <br /> 2555 FOX ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�tihich 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 pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances govcrning[his[ype 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� l80 days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance�vith thc State Building Code.This permit may be <br /> revoked at any time for due eause. <br /> `iT/�t1,L'C-� ��, l l ��^✓1���. - l l <br /> Applicant Permitee Signature Date Issued By gnature ate <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />