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, � CITY OF ORONO * z ID 1 z - 0 0 7 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4265 CHIPPEWA LA <br /> PIIV : 31-118-23-42-0019 <br /> LEGAL DESC : UNPLATTED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTG: I ST FLOOR: <br /> 1 KTICHEN SINK, 1 DISHWASHER, 1 WATER HEATER, t WATER SOFTNER <br /> VALUATION OF PLUMBING 1800 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> PLUMBING GUYS STATE SURCHARGE PLBG(VALUATION) 0.90 <br /> PO BOX 2066 <br /> BURNSVILLE, MN 55337- TOTAL 50.90 <br /> PAID WITH CC# 6856 <br /> OWNER <br /> MCCAFFREY, THOMAS& KATHLEEN <br /> 4265 CHIPPEWA LA <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 Ihe <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 no[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 inspec[ions are <br /> requested in conformance wi[h the tate Building Code.This permit may be <br /> revoked at y time for due cau . <br /> ��� � � / / <br /> App icant Perrnitee Signatur Date Issued By Si n ture Date <br /> SEPA TE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED AB E. <br />