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CITY OF ORONO * 2 0 1 6 — 0 1 5 7 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/27/2016 <br /> f ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 1340 VINE PL <br /> PIN 07-117-2342-0031 <br /> LEGAL DESC SAGA HILL REVISED <br /> LOT 000 BLOCK 017 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACE WATER HEATER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> APPLIANCE CONNECTIONS,INC. <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 12850 CHESTNUT BLVD MAIL-IN FEE 2.00 <br /> SHAKOPEE,MN 55379- TOTAL 53.00 <br /> (952)445-4803 Payment(s) <br /> Minnesota State License#:mech-MB004165 CHECK 8535 53.00 <br /> OWNER <br /> CHERBA,RICHARD <br /> 1340 VINE PL <br /> MOUND,MN 55364- <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 /> 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 /> Applicant Pertnitee Signature Date Issued By Signature Date <br />