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i� <br /> + ' CITY OF ORONO * 2 PJ 1 4 - P1 0 7 1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3115 SUSSEX RD <br /> PIN : 04-117-23-32-0015 <br /> LEGAL DESC : FOX BEND <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOT�: 2 KITCHLN SINKS <br /> 1 DI$POSnL <br /> 2 DI$HWASHI:R <br /> VAI�UATION OF PLUMBING 2800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.40 <br /> NYBO-PETERSON CO. INC. TOTAL 51.40 <br /> 6606 80TH. STREET Payment(s) <br /> MN 088- <br /> (952) 61-2749 CREDIT CARD 5379 51.40 <br /> Minn�sota State License#: BUIL-0586SO,cont-MN058650 <br /> OWNER <br /> ARY RASKOB, DANIEL DELMORE& <br /> 115�USSEX RD <br /> ON LAKE, MN 55356- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> The�+ork f��r which this permit is issued shall be performed according to <br /> the ap oved plans and specifications,applicable City approvals,and thc <br /> State B 'lding Code. This permit is for only the work described and does <br /> not gra t permission for additional or related work which requires separate <br /> permit All provisions of laws and ordinances governing this type of work <br /> shall b compied with whether or not specitied herein.This permit will <br /> xpire nd become null and void if construction authorized is not <br /> omme ced within 180 days of the date of issuance,or if construction is <br /> uspen ed for a period of 180 days at any time af[er work has commenced. <br /> he ap Ilcant is responsible tbr assuring all required inspections are <br /> equest d in conformance with the State Building Code.This permit may be <br /> evoke at any time for due cause. <br /> _�'�_�__—_.__.._�._ _ ��' � / / <br /> pplic nt Permrtee Signature Date Issued By Sign t re Date <br /> � <br />