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� CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * 2 P1 1 3 - 0 PJ 2 6 2 * <br /> DATE ISSUED: 04/18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3460 BIRCH LA <br /> PIN : 08-117-23-43-0027 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: KITCHEN SINK <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> LISLE, STEVE&ANGELA <br /> 3460 BIRCH LA STATE SURCHARGE PLBG (VALUATION) 025 <br /> WAYZATA, MN 55391- TOTAL 50.25 <br /> PAID WITH CASH 50.25 <br /> OWNER <br /> LISLE, STEVE&ANGELA <br /> 3460 BIRCH LA <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 gran[permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will JG� <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 f'or a period of 180 days at any time after work has commenced. <br /> "I'he applicant is responsible for assuring all required inspections are � <br /> requested in conformance with the State Building Code.This permit may be QtQ <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />