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11111011INNUM <br /> CITY OF ORONO * 2016 - 01540 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 3685 TOGO RD <br /> PIN 17-117-23-31-0037 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 008 BLOCK 010 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER HEATER <br /> NOTE: REPLACE:WATER HEATER <br /> VALUATION OF PLUMBING 2264 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MCQUILLAN BROS STATE SURCHARGE PLBG(VALUATION) 1.13 <br /> 1711 HWY 36 EAST MAIL-IN FEE 2.00 <br /> MAPLEWOOD,MN 55109- TOTAL 53.13 <br /> (651)292-0124 Payment(s) <br /> Minnesota State License#:plbg-PC689908 CREDIT CARD 4081 53.13 <br /> OWNER <br /> KIRCHENWITZ,MELVIN <br /> 3685 TOGO 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. 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 /> 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 /> Applicant Permitee Sighature Date Issued By Si ature Date <br />