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"� CITY OF ORONO * Z 0 1 6 - 0 0 6 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3085 JAMESTOWN RD <br /> PIN : 28-118-23-33-0010 <br /> LEGAL DESC : LIBERTY ACRES <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REAPLCE WATER HEATER <br /> VALUATION OF PLUMBING 1652 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.83 <br /> PRONTO HEATING&AC MAIL-IN FEE 2.00 <br /> 7415 CAHILL RD <br /> EDINA,MN 55439- TOTAL 52.83 <br /> (952)835-7777 Payment(s) <br /> CHECK 12027 52.83 <br /> OW1vER <br /> LARSON,MR.&MRS. GARY <br /> 3085 JAMESTOWN RD <br /> LONG LAKE,MN 55356- <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 separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit wil► <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 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 /> ._ s� �_ <br /> � �-�,��.e 2� � � � / �_3 / /�6 <br /> Applicant Permitee Signature Date Issue Signature Date <br />