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� <br /> CITY OF ORONO * z 0 1 3 - 0 1 z 1 7 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: lUi9/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 525 HUNTER PASS <br /> PIN : 25-118-23-31-0006 <br /> LEGAL DESC : HUNTER PASS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 5800 <br /> APPLICANT PLUMBING FIXTURE FEE 72.50 <br /> PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 2.90 <br /> 1216 82ND AVE N <br /> BROOKLYN PARK,MN 55444- MAIL-IN FEE 2.00 <br /> (763)561-3306 MISC FEE 0.00 <br /> TOTAL 77.40 <br /> OWNER <br /> STOBEL,MARK& SUSAN <br /> 525 HUNTER PASS <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 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 sepazate <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 l80 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />