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CITY OF ORONO I I I II I I I II III II I IIIIIIIIII <br /> * 20 1 8 - 00 4 0 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1849 WEST FARM RD <br /> PIN : 27-118-23-43-0026 <br /> LEGAL DESC : N/A <br /> : LOT 14 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSET,(2)LAVATORY,(1)SHOWER,(1)WET BAR,(1)MISCELLANEOUS-WINE CELLER PUMP <br /> VALUATION OF PLUMBING 9200 <br /> APPLICANT PLUMBING FIXTURE FEE 115.00 <br /> STATE SURCHARGE PLBG(VALUATION) 4.60 <br /> PRECISION PLUMBING&HEATING INC. TOTAL 119.60 <br /> 4124 MACKENZIE CT <br /> Payment(s) <br /> ST. MICHEAL,MN 55376 CREDIT CARD 1299 119.60 <br /> (763)497-7486 <br /> Minnesota State License#:plbg-PC643806,mech-MB004099 <br /> OWNER <br /> SHULER, SUSAN&DAVID <br /> 1849 WEST FARM RD <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 any tim for due cause. <br /> fly '3 / /7 <br /> Applicant Permitee Signature DateIssue':y Signature Date <br />