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�. CITY OF ORONO * 2 0 1 6 - 0 0 3 8 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2016 <br /> - ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> PIN : 27-118-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER <br /> VALUATION OF PLUMBING 2800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.40 <br /> WELD&SONS PLUMBING CO INC. TOTAL 51.40 <br /> 3410 KILMER LANE N Payment(s) <br /> PLYMOUTH,MN 55441- CHECK 10350 51.40 <br /> (763)475-0296 <br /> Minnesota State License#:plbg-PC646375,mech-MB003315 <br /> OWNER <br /> Orono Woodlands <br /> 2100 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 conshuction 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 /> � <br /> `�� -�� � �1.5� -� <br /> Applicant P itee Signature Date Issued B ignature Date <br />