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CITY OF ORONO * Z 0 1 6 - 0 0 9 8 5 * <br /> ,� 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2016 <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: NEW: 1 WATER CLOSET, 1 LAVATORY, 1 SHOWER <br /> VALUATION OF PLUMBING 1600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.80 <br /> WELD& SONS PLUMBING CO INC. TOTAL 50.80 <br /> 3410 KILMER LANE N <br /> PLYMOUTH, MN 55441- Payment(s) <br /> (763)475-0296 CHECK 10443 50.80 <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 does <br /> not grant permission for additiona►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 period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring required inspections are <br /> requested in conformance with th State: uilding Code.This permit may be <br /> revoked at a y time for due cau . ��� <br /> �, G, <br /> � " `/���( ',�'� 1 � �-'�. l. ���_s�_ / / !/ c', <br /> � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />