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I11111111111111111111111 <br /> CITY OF ORONO * 2 0 1 7 - 0 1 0 8 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2017 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 225 NORTHGATE RD <br /> PIN : 36-118-2341-0048 <br /> LEGAL DESC : NORTHGATE TWO <br /> : LOT 001 BLOCK 004 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CITY VIEW PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> 1880-B WAYZATA BLVD W TOTAL 51.00 <br /> P.O.BOX 150 Payment(s) <br /> CHECK 37282 51.00 <br /> LONG LAKE,MN 55356 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> WEBB,ELIZABETH <br /> 225 NORTHGATE RD <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 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 /> plicant is responsible for assuring all required inspections are <br /> reques in conformance with the State Building Code.This permit may be <br /> revoked a y time f e cause. <br /> 7 / <br /> A p ant ermitee ignature Date Issued Signature Date <br />