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CITY OF ORONO PERMIT NO.: 2011-00462 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/14/2011 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 999 WILDHURST TR <br /> PIN : 07-117-23-21-0005 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER REPLACEMENT <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CARSON PLUMBING INC. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3095 162ND LANE NW TOTAL 20.00 <br /> ANDOVER,MN 55304 <br /> (763)427-7680 <br /> OWNER <br /> GRAY,MIKE <br /> 999 WILDHURST TR <br /> MOUND,MN 55364- <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 /> r ked at any time <br /> for ue cau <br /> 41(te A 0-14/Eck_A4 ( 4/ <br /> Applicant Permitee Signatu Date •A <br /> ssue.f:y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />