Laserfiche WebLink
• � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 3 — 0 0 fd 8 3 * <br /> DATE ISSUED: 02/OU2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1480 SIXTH AVE N <br /> PIN : 26-118-23-32-0008 <br /> LEGAL DESC : DOUGLAS ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,91)WASHER AND(1)WET BAR <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BOE PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> 15481 KIOWA ST. <br /> ANDOVER,MN 55304 TOTAL 51.50 <br /> (763)757-1991 <br /> Minnesota State License#:MB3984 <br /> OWNER <br /> GULBRANDSON,DAN&ERICKA <br /> 1480 SIXTH AVE N <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 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 eriod of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in co o ance wi the State Building Code.This permit may be <br /> revoked at any,m for due ause. <br /> z , � ,r� �, , ,, <br /> Applicant e itee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />