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• ° CITY OF ORONO * 2 PJ 1 6 - 0 0 7 PJ 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1270 BRIAR ST <br /> PIN : 10-117-23-31-0038 <br /> LEGAL DESC : CRYSTAL BAY M[NNETONKA <br /> : LOT O10 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.30 <br /> APPLIANCE CONNECTIONS, INC. MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE,MN 55379- TOTAL 52.30 <br /> (952)445-4803 Payment(s) <br /> Minnesota State License#:mech-MB004165 CHECK 7803 52.30 <br /> OWNER <br /> RANGE,JOHN <br /> 1270 BRIAR ST <br /> WAYZATA, MN 55391- <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 Ciry 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�vhether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> � ` " r .��) �{i c�. / <br /> � 1iti'LL�t-�C�. �-G `� ���-c�C� a Y"' l�L' l /�� <br /> Applicant Permitee Signature - Date Issue � y Signature Date <br />