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CITY OF ORONO * Z 0 1 5 — 0 1 0 9 7 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2015 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2135 S[XTH AVE N <br /> PIN : 27-118-23-31-0005 <br /> LEGAL DESC : UNPLATTED 27 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : F[XTURES-MULTIPLE <br /> NOTE: 1 LAVATORY, 1 BATHTUB, 1 SHOWER <br /> VALUAT[ON OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 1.50 <br /> TOFTELAND, RYAN&MARTHA <br /> 2135 SIXTH AVE N TOTAL 51.50 <br /> LONG LAKE, MN 55356- Payment(s) <br /> CREDIT CARD 1955 51.50 <br /> OWNER <br /> TOFTELAND,RYAN&MARTHA <br /> 2135 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved p►ans 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 wi[h 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 ,f) �/� <br /> revoked at any time for due cause. V LY� <br /> ` '1 � �._ <br /> }� � t� a I 5 I ��L�� �,, /2 / <br /> Applicant Permitee ignature D te Issued B Signatur Date <br />