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� . <br /> CITY OF ORONO * z 0 1 4 - r� 0 1 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 480 SUSSEX LA <br /> PlN : 04-117-23-31-0013 <br /> LEGAL DESC : FOX BEND <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: WATER HEATER <br /> VALUATION OF PLUMBING 3265 <br /> APPLICANT PI,UMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.63 <br /> CITY VIEW PLUMBING& HEATING TOTAL S1.63 <br /> 1880 WAYZATA BLVD W <br /> P.O. BOX 150 Payment(s) <br /> LONG LAKE, MN 55356 CHECK 34330 S1.63 <br /> (952)473-8793 <br /> OWNER <br /> MCMILLAN, WILLIAM & MARY <br /> 480 SUSSEX LA <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 thc <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 t}'pe 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 issua�ice,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[he S[a[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _ a/a-5� �� � � �--� � ,�, � <br /> Applicant Permitee Signature Date ssue y Signature Date <br />