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'� �" CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 6 - 0 1 5 4 7 * <br /> DATE ISSUED: 12/19/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1245 SIXTH AVE N <br /> PIN : 26-118-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.291 <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL ' <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER REPLACEMENT <br /> VALUATION OF PLUMBING 3450 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.73 <br /> SELECT MECHANICAL SERVICES INC. ` MpIL-IN FEE 2.00 <br /> 6219 CAMBRIDGE ST <br /> ST.LOUIS PARK,MN 55416- TOTAL 53.73 <br /> (952)926-4488 Payment(s) <br /> Minnesota State License#:mech-MB003390 CHECK 4264 53.73 <br /> OWPIER <br /> HOGAN,JOHN&KIMBERLY <br /> 1245 SIXTH AVE N <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 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 cause. <br /> ����� + � /� � ,/� <br /> Applicant Permitee Signatu're Date Issued B Signature Date <br />