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CITY OF ORONO PERMIT NO.: 2010-00537 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/29/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4515 WOLVERTON PL <br /> PIN : 31-118-23-31-0008 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 0.50 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN,MN 55123- MAIL-IN FEE 2.00 <br /> O MISC FEE 0.00 <br /> Minnesota State License#: 61770PM TOTAL 17.50 <br /> OWNER <br /> KIRKPATRICK,GREGORY&KATHY <br /> 4515 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359 <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 crause. <br /> .10 <br /> Applicant Permitee Signature Date Issued B,lr ignature 414 Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED B•P. <br />