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CITY OF ORONO * Z 0 1 4 - 0 0 3 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 825 BROWN RD S <br /> PIN : 10-117-23-21-0008 <br /> LEGAL DESC : CARRIAGE HILL <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (])WATGR CLOSf�I',(1)LAVA'I�ORY,(1)I�I.00R DRAIN ANU(1)LAUNDRY 1RAY <br /> VALUATION OF PLUMBING 3500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.75 <br /> FREEDOM MECHANICAL TOTAL 51.75 <br /> 8382 172ND AVE SE <br /> BECKER, MN 55308- Payment(s) <br /> CHECK 6927 51.75 <br /> (612)363-6190 <br /> Minnesota State License#: mech-004042PM <br /> OWNER <br /> FERNANDEZ, MICHAEL&PATRICIA <br /> 825 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfbrmed 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 rclated work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time atter 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 � r du ause. <br /> �-��--/`� ,13 , <br /> Applicant Permitee Signature Da[e Issue By Signature Date <br />