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ik I I I 1 1 1 1 I, I F1 <br /> CITY OF ORONO * 2 0 1 7 - 0 0 8 9 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/01/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1350 ORONO OAKS DR <br /> PIN 35-118-23-34-0006 <br /> LEGAL DESC : ORONO OAKS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : 1 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 /> 1 STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 <br /> 3670 DODD ROAD-SUITE 100 TOTAL 53.00 <br /> EAGAN,MN 55123- <br /> 0 Payment(s) <br /> Minnesota State License#:plbg-PC000308,mech-MB005365 CHECK 34924 53.00 <br /> OWNER <br /> MADGETT,DAVID&KRISTIN <br /> 1350 ORONO OAKS DR <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 ordin ces governing this type of work <br /> shall be compied with whether or not sp ified herein.This permit will <br /> expire and become null and void if constriction authorized is not <br /> commenced within 180 days of the date o 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 II required inspections are <br /> requested in conformance with the State uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> 6`— ,Lci.i.Lt e0 6 74.4,--&) R 1 / 1/7 <br /> Applicant Permitee Signature Date Issued By ature Date <br />