Laserfiche WebLink
� CITY OF ORONO * 2 0 1 5 - 0 1 1 P1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/3ll2015 <br /> , ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 780 NORTH ARM DR <br /> PIN : 06-117-23-43-0010 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 362 <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> NOTE: REPLACEMENT WATER HEATER ONLY <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN,MN 55123- TOTAL 18.00 <br /> � Payment(s) <br /> CHECK 31539 18.00 <br /> OWNER <br /> CARLSON,JEFFREY&KELLEY <br /> 780 NORTH ARM DR <br /> MOLJND,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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. Al►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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> ` �I ��.,� C� V"��c.� ,�1 1� <br /> � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />