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CITY OF ORONO 1111111 .111 II.II II II III 1..II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4575 WOLVERTON PL <br /> PIN : 31-118-23-31-0007 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> AIR MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE,MN 55304 TOTAL 53.00 <br /> (763)434-7747 Payment(s) <br /> Minnesota State License#:mech-MB005122 CHECK 047970 53.00 <br /> OWNER <br /> JOHNSON,REBECCA L <br /> 4575 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 cause. <br /> Applicant Permitee Slgnature Date 'Issued klySignature Date <br />