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, � CITY OF ORONO * 2 0 1 3 - 0 1 1 0 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4225 SIXTH AVE N <br /> PIN : 31-118-23-12-0012 <br /> LEGAL DESC : LJNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BSMT: 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 WATER SOFTNER, 1 IRON FILTER <br /> 1ST FL: 1 WC, 1 LAV, 1 TUB, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, <br /> REPLACING FIXTURES SUPPLIED BY OWNER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PETERS PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> 20455 MAOR ROAD <br /> EXCELSIOR,MN 55331- MAIL-IN FEE 2.00 <br /> (612)803-5066 TOTAL 52.75 <br /> Minnesota State License#: PM093027 <br /> OWNER <br /> DATTILO,GRANT <br /> 4225 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 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 c <br /> �� 2/ �Zv/3 <br /> / / <br /> A c t e itee Signature Date Issued By ignature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED E. <br />