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CITY OF ORONO �2 0 1 6 - 0 1 1 4 0 * <br /> � � . 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2060 NORTH SHORE DR <br /> PIN : 10-117-23-31-0003 <br /> LEGAL DESC : iJNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE:WATER HEATER <br /> VALUATION OF PLUMBING 1607 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.80 <br /> UPTOWN HEATING&COOLING MAIL-IN FEE 2.00 <br /> 3110 WASHINGTON AVE.N. <br /> MINNEAPOLIS,MN 55411- TOTAL 52.80 <br /> (612)827-4674 Payment(s) <br /> CHECK 38440 52.80 <br /> OWNER <br /> GODFREY,LYLE&NORMA <br /> 2060 NORTH SHORE DR <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 Bui(ding Code. This permit 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 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 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^--�_ <br /> � <br /> � �QQ� C3c�-e�l ���,��Z� � � gj /(o <br /> Applicant Permitee Signature Date Issued By Signature Date <br />