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� CITY OF ORONO * 2 0 1 6 - 0 0 6 5 9 * <br /> �, 2'150 KELLEY PARKWAY DATE ISSUED: 06/08/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1980 SIXTH AVE N <br /> PIN : 27-118-23-42-0004 <br /> LEGAL DESC : LJNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE: 1 DISHWASHER <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> ECOWATER MAIL-IN FEE 2.00 <br /> 3208 FIRST STREET S <br /> WAITE PARK,MN 56387- TOTAL 52.50 <br /> (320)251-2505 Payment(s) <br /> Minnesota State License#:plbg-PC643402 CREDIT CARD 2893 52.50 <br /> OWNER <br /> KASHKARI,NEEL <br /> 1980 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 dces <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 cause. <br /> ^ � 1�-'-J <br /> ' a� t �Q c� 0��4 IZ.�C��� ��..� 4 ��� t�� � k� i� � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />