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, � CITY OF ORONO * 2 0 1 5 — 0 0 6 2 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 755 SPRING HILL RD <br /> PIN : 36-118-23-22-0003 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 1229 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.61 <br /> CITY VIEW PLUMBING&HEATING TOTAL 50.61 <br /> 1880 WAYZATA BLVD W Payment(s) <br /> P.O.BOX 150 CHECK 35358 50.61 <br /> LONG LAKE,MN 55356 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> WINSTON,FREDERICK <br /> 765 SPRING HILL RD <br /> WAYZATA,MN 55391- <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. 'fhis 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 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 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 /> � � � 1g'�5 �' ,e5 , ,�- <br /> f <br /> Applicant Fermitee Signature Date Issue y Signature Date <br />