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CITY OF ORONO 11 11 III I II II II II III I II II <br /> 2750 KELLEY PARKWAY * 2014 00090 <br /> DATE ISSUEE D: 01/27/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 WHITE OAK CIR <br /> PIN : 04-117-23-42-0019 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: I WC, I LAV, I SHOWER <br /> VALUATION OF PLUMBING 2800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) I.40 <br /> WELTER&BAYLOCK INC. TOTAL 51.-10 <br /> 307 PERSHING AVE.N <br /> Payment(s) <br /> NEW PRAGUE, MN 56071 CHECK 6184 51.10 <br /> Minnesota State License#: plbg-PM65425 <br /> OWNER <br /> BERRELL, ROBERT&KAREN <br /> 2740 WHITE OAK CIR <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 ford ca se. <br /> Ansi <br /> 47. frAB /// 61-114--41—/\„, <br /> Applicant 'ermite Sig .tu e Date Issued By 10 ature Date <br />