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� -� <br /> CITY OF ORONO PERMIT NO.: 2oiaooag� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1330 SIXTH AVE N <br /> PIN : 26-118-23-31-0010 <br /> LEGAL DESC : LJNDERHILL FARMS <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS,MN 5540& MAIL-IN FEE 2.00 <br /> (612)827-4033 TOTAL 22.00 <br /> OWNER <br /> BOHACH, WALLACE&SUSAN <br /> 1330 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 does <br /> not grant permission for additional or related work which requires sepazate <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 1 SO 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 c use. <br /> . / �/ /U �/ /Z� <br /> Applicant Permitee Sig ure Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />