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' �` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 3 1 4 * <br /> DATE ISSUED: 03/19/2018 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2660 PHEASANT RD <br /> PIN : 21-117-23-23-0022 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO1vSTRUCTION TYPE : WATER HEATER <br /> NOTE: WATRE HEATER <br /> VALUATION OF PLUMBING 600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.30 <br /> APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE,MN 55379- TOTAL 52.30 <br /> (952)445-4803 Payment(s) <br /> Minnesota State License#:mech-MB004165 CHECK 10158 52.30 <br /> OWNER <br /> HAYHURST,GREGORY&GAYLE , <br /> 2660 PHESANT RD <br /> EXCELSIOR,MN 55331- <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 pertnit 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 goveming 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 wnstruction 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 caus`. ` <br /> / / <br /> Applicant Permitee Signature Date ss ed Signature Date <br />