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� <br /> � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 5 5 6 * <br /> DATE ISSUED: OS/08/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2660 MAPLERIDGE LA <br /> PIN : 21-117-23-24-0051 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 020 BLOCK 000 <br /> PERMTT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 650 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.33 <br /> LARSON PLUMBING INC. MAIL-IN FEE 2.00 <br /> 3095 162ND LANE NW <br /> ANDOVER,MN 55304 TOTAL 52.33 <br /> (763)427-7680 Payment(s) <br /> Minnesota State License#:plbg-0841699 CREDIT CARD 3003 52.33 <br /> OWNER <br /> YEAGER,KARL&NLIE <br /> 2660 MAPLERIDGE LA <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfotmed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances governing this lype 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 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 /> Appl�cant Perm�tee Signature Date Issued Signature Date <br />