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,,. CITY OF ORONO * 2 0 1 6 - PJ 1 Z 8 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 _ <br /> ADDRESS : 3585 SIXTH AVE N <br /> PIN : 29-118-23-43-0004 <br /> LEGAL DESC : LINPLATTED 29 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)FLOOR DRAIN,(2)WATER HEATERS,(1)WET BAR AND(1)URINAL <br /> VALUATION OF PLUMBING 6110 <br /> APPLICANT PLUMBING FIXTURE FEE 76.38 <br /> STATE SURCHARGE PLBG(VALUATION) 3.06 <br /> K& S PLUMBING LLC TOTAL 79.44 <br /> 9572 KNOX AVE.N. <br /> BROOKLYN PARK,MN 55444- Payment(s) <br /> (763)425-8760 CHECK 5090 79.44 <br /> Minnesota State License#: plbg-065380-PM <br /> OWNER <br /> ANDERSON&DAV[D LIND, RICK <br /> 3585 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 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�vhich 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 I 80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 � for due cause. <br /> � <br /> ' � <br /> ! l� <G � /l� l l a l�� <br /> pplicant ermrtee ' nature Date Issued Signature Date <br />