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� � CITY OF ORONO * Z pJ 1 7 - 0 PJ 5 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/23/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 630 PARK LA <br /> PIN : 06-117-23-44-0014 <br /> LEGAL DESC : MINNETONKA HIGHLANDS ESTATES <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATERHEATER <br /> NOTE: REPLACE WATER HEATER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> CITY VIEW PLUMBING& HEATING TOTAL SOJS <br /> 1880-B WAYZATA BLVD W <br /> P.O. BOX 150 Payment(s) <br /> LONG LAKE, MN 55356 CHECK 37046 50.75 <br /> (952)473-8793 <br /> Minnesota State License#: plbg-MB005208 <br /> OWNER <br /> ANDERSON, RICK&NANCY <br /> 630 PARK LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT A1vD 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 J <br /> commenced within l80 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 /> __ �- � e �k /j �f) ` �—: / <br /> � o���` � V `C_�C�L.�.,�1 / �--L t f`= ,� � � ( � <br /> Applican e � Date Issued By Signature Date <br />