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' ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 4 - 0 0 8 4 0 * <br /> DATE ISSUED: 08/OS/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3599 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0051 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ST.ATE SURCHARGE PLBG(<$500) 5.00 <br /> RIVER CITY SHEET METAL INC. <br /> 8290 MA1N ST.NE MAIL-IN FEE 2.00 <br /> SUITE 39 TOTAL 22.00 <br /> FRIDLEY,MN 55432 Payment(s) <br /> (612)754-2199 CHECK 10681 22.00 <br /> Minnesota State License#:mech-003364 <br /> OWNER <br /> MCKINNEY ET AL,ZELMA H <br /> 1410 MEADOW LARK DR <br /> STILLWATER,MN 55082- <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 goveming 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 /> �_�'kQ.�( / / <br /> Applicant Permitee Signature Date Issued By Sig� ure � Date <br /> � <br />