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CITY OF ORONO 111111111111111111111111111111011111111111111111111 <br /> * 20 1 S - 00 2 2 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2015 <br /> 1 l�.�.f C. ,.y ORONO, MN 55356- <br /> e Pe-; (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS ‘ZS: ...„631-FERNDALE RD N <br /> PIN : 36-118-23-11-0009 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 3 WATER CLOSETS,4 LAVATORY,2 BATHTUBS,2 SHOWERS <br /> VALUATION OF PLUMBING 22710 <br /> /7 <br /> APPLICANT PLUMBING FIXTURE FEE 283.88 <br /> SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 11.36 <br /> 11473 KENYON COURT MAIL-IN FEE 2.00 <br /> BLAINE,MN 55449- TOTAL 297.24 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#:plbg-066807 P 4 CHECK 09822 297.24 <br /> OWNE' <br /> VICTORIA O'NEILL,LARRY ACOBSON&VICTORIA <br /> 635 FERNDALE RD N <br /> WAYZATA, MN 55391- <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 d f� <br /> revoked at any time for due cause. N/'.r� <br /> Applicant Permitee Signature ate Issued By Signature Date <br />