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1111111111111111111110111111111111111111111111 <br /> CITY OF ORONO * 2013 - 0040S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/24/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4500 NORTH SHORE DR <br /> PIN : 07-117-23-31-0030 <br /> LEGAL DESC : WILDHURST TRAIL <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER HEATER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> 265 CTY RD 110 NORTH MAIL-IN FEE <br /> MOUND,MN 55364 <br /> (952)472-9200 TOTAL S2y75` <br /> Minnesota State License#: 060524-PM PAID WITH CC# 4708 <br /> OWNER <br /> BESSESEN,BETH <br /> 4500 NORTH SHORE DR <br /> MOUND,MN 55364- <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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at Any time for due cau <br /> 5� �I73 <br /> AppPermiNeigaturDate Issued By i ature Date <br /> lic t <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />