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r � � CITY OF ORONO <br /> * 20 16 - PJ0692 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1405 REST POINT RD <br /> PIN : 07-117-23-33-0013 <br /> LEGAL DESC : SBDV OF LOT 14 REST POINT <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REAPLCE WATER HEATER <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> PAVEK PLUMBING TOTAL 50.50 <br /> 4550 COUNTY RD 10 N Payment(s) <br /> WATERTOWN, MN 55388 CHECK 9342 50.50 <br /> �) <br /> Minnesota State License#: BUIL-60617-PM <br /> OWNER <br /> CAVENDER,COLLMS&BARBARA <br /> 1405 REST POINT RD <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 whe[her 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 afrer work has commenced. <br /> The applicant is res nsible for ring all required inspections are <br /> requested in co ance �State Building Code.This permit may be <br /> revoked at a � me for �-Cause. ' 1 <br /> , , _ <br /> .-\-_:,?� � ' � <br /> --__. _.��G/� �� --e � ��. ��- i /�r /�- <br /> Applicant Permitee Signature Date Issued By � nature Date <br />