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CITY OF ORONO PERMIT NO.: 2010-01193 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuED: 12/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1385 CHERRY PL <br /> PIN : 08-117-23-32-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0615 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> N071:: WA"I'ER HFA"I'GR <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 5.00 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS, MN 55408- MAIL-[N FEE 2.00 <br /> (612)827-403� TOTAL 22.00 <br /> OWNER <br /> GREELEY, ROBERT <br /> 1385 CHERRY PLACE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall bc performed accordin�to <br /> the approved plans and specitications,appliclble Cit��approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not�rant permission for additional or related work which requires separa[e <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 /> cxpire and become i�ull and void if construetion 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 /> 7�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke any time for due cause. <br /> � l�� � l� /o�/ l D <br /> Applicant Permitce Sign e Dale ]ssue 3y Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />