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� CITYOFORONO * 2013 - 000z0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU09/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 110 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0046 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 012 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.75 <br /> 1424 3RD STREET N <br /> MINNEAPOL[S, MN 55411- MAIL-IN FEE 2.00 <br /> (763)755-6468 TOTAL 52.75 <br /> OWNER <br /> HIGGINS, KENNETH& LAURA <br /> 110 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc 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. AIl 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 dil required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due caut�. <br /> `�Z� `�' / / / / <br /> Applicant Permitee Signature Date Issued B ignature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />