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�'' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 6 - 0 1 4 5 4 * <br /> . DATE ISSUED: 1U2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2080 SALEM CT <br /> PIN : 27-118-23-31-0016 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.25 <br /> MARK MAAS PLUMBING TOTAL 51.25 <br /> 11599 KRAMEL AVE NW <br /> ANNANDALE,MN 55302 Payment(s) <br /> Minnesota State License#: BUIL-PC643489 CREDIT CARD 6078 51.25 <br /> OWNER <br /> HIRSCHBERG,LAURA&ROBB <br /> 2080 SALEM CT <br /> LONG LAKE,MN 55356- <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 goveming 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�au e. <br /> � / �� /� <br /> ,��� '"�� ���`'' {� �`"-�` � /i i <br /> t Permit e ignature Date Issued B ignature Date <br />