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: . <br /> CITY OF ORONO * 2 0 1 4 - 0 PJ 2 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1040 KNOLL MANOR RD <br /> PIN : 26-118-23-31-0014 <br /> LEGAL DESC : KNOLL MANOR <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 5.00 <br /> APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE,MN 55379 TOTAL 22.00 <br /> (952)445-4803 Payment(s) <br /> Minnesota State License#: BUIL-057209PM CHECK 21157 22.00 <br /> OWNER <br /> CARGILL,W BIGLEY&K <br /> 1040 KNOLL MANOR RD <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. 1'his 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��3/ � � c�_ � , .31 , /�'�' <br /> Applicant Permitee Signature Dat Iss d By Signature Date <br />