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CITY OF ORONO I I I I II I II I I I I1I I IIII1I * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/12/2016 <br /> • <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 190 WILLOW DR N <br /> PIN : 34-118-23-32-0052 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE: 1 DISHWASHER <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.38 <br /> ECOWATER MAIL-IN FEE 2.00 <br /> 3208 FIRST STREET S <br /> WAITE PARK,MN 56387- TOTAL 52.38 <br /> (320)251-2505 Payment(s) <br /> Minnesota State License#:plbg-PC643402 CREDIT CARD 2893 52.38 <br /> OWNER <br /> WILLIAMSON TRUSTEE,VICTORIA F <br /> 190 WILLOW DR N <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 time for due cause. <br /> Applicant Permi e Signature/ <br /> Date Issued By Signature Date <br />