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CITY OF ORONO PERMIT NO.: 2011-00647 <br /> � 2750 KELLEY PARKWAY <br /> • ORONO,MN 55356- DATE ISSUED: 07/14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4740 NORTH ARM DR W <br /> PIN : 06-117-23-23-0009 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION : $ 5,900.00 <br /> NOTE: WATER HEATER <br /> APPLICANT MECHANICAL 73.75 <br /> TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 2.95 <br /> 3508 SNELLING AVENUE TOTAL 76.70 <br /> MINNEAPOLIS,MN 5540Cr <br /> (612)729-5646 <br /> Minnesota State License#:066835 <br /> OWNER <br /> HEDBERG,JOHN&JANICE <br /> 4740 NORTH ARM DR W <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 dces <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 /> / / / / <br /> Applicant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />