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, _ . CITY OF ORONO * Z 0 1 4 - 0 0 Z 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1 155 HERITAGE LA <br /> PIN : 10-117-23-13-0022 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATF,R f IBATER <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 0.38 <br /> ADAMS ON TIME PLUMBING MAIL-IN FEE 2.00 <br /> 13791 JONQUIL LN N <br /> DAYTON, MN 55327- TOTAL 52.38 <br /> (612)205-6060 Payment(s) <br /> Minnesota State License#: plbg-643148 CREDIT CARD 9200 52.38 <br /> OWNER <br /> WEIDNER, BRUCE <br /> 1155 HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "rhe 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. 'I'his 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 specitied herein.This permit will <br /> espire and become null and void if construction authorized is not <br /> commenced within 180 da��s of the date o1�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 /> � d / � // <br /> Applicant Permitce Signat e Date Issue y Signature Date <br />