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� CITY OF ORONO * Z 0 1 6 - 0 1 0 S 5 * <br /> 4- 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2140 SHEVLIN DR <br /> PIN : 03-1L7-23-34-0021 <br /> LEGAL DESC : WEBBER I-�ILLS <br /> : LOT 004 BLOCK 003 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE WATER HEATER <br /> VALUATION OF PLUMBING 2200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.10 <br /> EARL W. DAY&SONS, INC. TOTAL 5110 <br /> 520 BRIMHALL AVE Payment(s) <br /> P.O. BOX 294 CHECK 6316 5 L 10 <br /> LONG LAKE,MN 55356 <br /> (952)473-8403 <br /> OWNER <br /> PETERSON, WENDY <br /> 2140 SHEVLIN DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT A1vD 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 /> shail 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 l80 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 tim�for due cause. yI <br /> ✓ , _ N`� <br /> ` � ) <br /> r C <br /> �� ��--�� , �' �c� �� i�-�����--�- �� I .-�-� �1 ��t- �� ��� � i �� <br /> Applicant P.ermi ee Signature ate Issued By Signature Date <br /> f' <br /> I <br />