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CITY OF ORONO H 11I I 1 I I1II I 1 I1 11 I 1 I I II 11 I I1 I <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 00984 * <br /> DATE ISSUED: 08/17/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1399 ORONO LA <br /> PIN : 02-117-23-34-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO.0191 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: REPLACE:WATER HEATER <br /> VALUATION OF PLUMBING 1498 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CITY VIEW PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> 1880-B WAYZATA BLVD W TOTAL 50.75 <br /> Payment(s) <br /> P.O.BOX 150 <br /> LONG LAKE,MN 55356 CHECK 36434 50.75 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> CAVALANCIA,BARRY <br /> 1399 ORONO LA <br /> WAYZATA,MN 55391- <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. I '1.:. µZ ,,,// <br /> /r <br /> 411111k-= •1 1 /6 L �`'%` �c e.54-S <br /> � , I7 i/b <br /> • <br /> Applicant '" itee Signature I ate Issued By Signature Date <br />