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CITY OF ORONO * 2 0 1 7 — 0 0 1 z 9� <br /> * � 2750 KELLEY PARKWAY DA'rE ISSUED: 02/10/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1384 BALDUR PARK RD <br /> PIN : 08-117-23-31-0004 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 030 <br /> APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD TOTAL 52.30 <br /> SHAKOPEE,MN 55379- Payment(s) <br /> (952)445-4803 52.30 <br /> Minnesota State License#:mech-MB004165 <br /> OWNER <br /> PEARSON,CRAIG&LISA <br /> 1384 BALDUR PARK RD <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 sepazate <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 nuli 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 /> � <br /> ��u.c�Qc o P-�' `e � �Ij .2 i l D i 1� <br /> Applicant Permitee Signature Date Issued y ignature Date <br />