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CITY OF ORONO * 2 0 1 4 — 0 1 4 5 6 * <br /> „ 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014 <br /> ORONO, MN 55356- <br /> - (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 720 SANDSTONE CIR <br /> PIN : 33-118-23-11-0052 <br /> LEGAL DESC : STONEBAY <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIXTURE <br /> NO"I'F?: DISHWASIiI:R <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ECOWATER STATE SURCHARGE PLBG (<$500) 5.00 <br /> 3208 FIRST STREET S MAIL-IN FEE 2.00 <br /> WAITE PARK, MN 56387- TOTAL 22.00 <br /> (320)251-2505 Payment(s) <br /> CREDIT CARD 3331 22.00 <br /> OWNER <br /> SANFORD, JENNIFER <br /> 720 SANDSTONE CIRCLE <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permi[is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <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 /> commeneed within I 80 days oi�the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime atter work has commenced. <br /> The applicant is responsible for�ssuring aIl required inspections are <br /> requested in conformance�vith the State[3uilding Code. I his permit may be <br /> revoked at any time for due cau e. /��,G�' <br /> � � `�/�--��--L C (T��(� cr'� � si f�� �'c' / <br /> { / / <br /> Applicant Permitce Signt�ure � Date Issued F3y Signature Date <br />