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� CITY OF ORONO * 2 0 1 3 - 0 PJ 3 6 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4010 BAYSIDE RD <br /> PIN : 06-117-23-11-0006 <br /> LEGAL DESC : POPOV ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOT�: ] WC, 1 LAV, 1 TUB <br /> VALUATION OF PLUMBING 1261 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> GREG'S HARDWARE STATE SURCHARGE PLBG(VALUATION) 0.63 <br /> 112 PAUL AVENUE <br /> COLOGNE, MN TOTAL 50.63 <br /> (952)466-5527 PAID WITH CC# 1490 <br /> OWNER <br /> LEVANG, CURTIS& ELIZABETH <br /> 4010 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <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 typc 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[he 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 /> revok at any time for due cause. <br /> � ���""'�-� � ��� / � / / <br /> Applican erm e Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A . <br />