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BIRSERIMMU <br /> CITY OF ORONO * 2 0 1 3 - 0 1 2 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/27/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 125 TRUFFULA TR <br /> PIN ; 33-118-23-44-0041 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 007 BLOCK 001 <br /> PERMIT TYPE PLUMBING(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURE <br /> NOTE: NO CHANGE IN PLUMBING-SHOWER,DRAIN,SINKJVANITY <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> JOERRES,JEFF&KELLY STATE SURCHARGE PLBG(<$500) 5.00 <br /> 125 TRUFFULA TR <br /> LONG LAKE, MN 55356- TOTAL 20.00 <br /> PAID WITH CC# 8803 <br /> OWNER <br /> JOERRES, JEFF&KELLY <br /> 125 TRUFFULA TR <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 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 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 anv time r ue c <br /> App ican e i at Date Issued By Si lure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />