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< <� CITY OF ORONO * 2 0 1 6 - 0 0 2 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2460 SANDSTONE LA <br /> PIN : 33-118-23-11-0029 <br /> LEGAL DESC : STONEBAY <br /> : LOT 026 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER REPLACEMENT <br /> VALUATION OF PLUMBING 2200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.10 <br /> 5718 INTERNATIONAL PKWY M.°►IL-IN FEE 2.00 <br /> NEW HOPE,MN 55428- TOTAL 53.10 <br /> (612)23&9709 Payment(s) <br /> Minnesota State License#:plbg-PC643703,mech-MB004722 CREDIT CARD 0169 53.10 <br /> OWNER <br /> MATESKI,THEO&LYNNE <br /> 2460 SANDSTONE LA <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. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <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 I80 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 cause. <br /> o ���� `� l �/ i /� <br /> Applicant Permitee Signature Date Issued y ignature Date <br />