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� ~ CITY OF ORONO * 2 pJ 1 6 - 0 1 3 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: il/0]/2016 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> ACTIVITY : O/S GENERAL <br /> NOTE: WATER I-IEATER <br /> VALUATION OF PLUMBING 3920 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PRONTO HEATING&AC STATE SURCHARGE PLBG(VALUATION) 1.96 <br /> 7415 CAHILL RD MAIL-IN FEE 2.00 <br /> EDINA,MN 55439- TOTAL 53.96 <br /> (952)835-7777 Payment(s) <br /> Minnesota State License#:mech-MB004828 CREDIT CARD 8852 53.96 <br /> OWNER <br /> HODDER,KENT H&JUDITH B <br /> 2640 NORTH SHORE DR <br /> ,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 dces <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 ot 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 resyonsible 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 /> c_.,---� � 1 � ,(� <br /> Applicant Permitee Signature Date Iss B ignature Date <br />