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` ` CITY OF ORONO * 2 0 1 4 - 0 1 3 2 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1]/13/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY T1�PE : RESIDENTIAL <br /> CONSTRUCTIbN TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER T-IEATER <br /> VALUATION�F PLUMBING 825 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.41 <br /> CITY VIEW PLUMBING&HEATING TOTAL 50.41 <br /> 1880 WAYZ�ITA BLVD W Payment(s) <br /> P.O.BOX 150 CHECK 34947 50.41 <br /> LONG LAK�,MN 55356 <br /> (952)473-8793 <br /> OWNER <br /> Stephenson'Holdings <br /> 1850 FOX I�IDGE RD <br /> LONG LAI�E,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work fof Which this permit is issued shall be performed according to <br /> the approved pians and specifications,applicable City approvals,and the <br /> State Buildipg 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 con`�pied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commence�within 180 days of the date of issuance,or if construction is <br /> suspended�'or a period of 180 days at any time after work has commenced. <br /> The applic�nt is responsible for assuring all required inspections are <br /> requested ib�conformance with the State Building Code.This permit may be <br /> revoked atli any time for d cause. <br /> �� �� �3 )� � � <br /> A ar#t Permitee Signature Dat Issu By Signature Date <br />