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, CITY OF ORONO * 2 0 1 4 - 0 1 3 0 3 * <br /> � 2750 KELLEY PARKWAY pATE �SSUE�: 11/06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1675 CONCORDIA ST <br /> PIN : 17-117-23-22-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1628 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : KESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO"I�}�` (I)KITCHLN S['VK.(1)DISPOSnL AND(1)D[SHWASHER <br /> VALUATION OF PLUMBING 500 <br /> APPLICAIYT PLUMBING FIXTURE FEE 50.00 <br /> S'I'ATE SURCHARGE PLBG (VALUAT(ON) 0.25 <br /> THARALDSON PLUME3ING TOTAL 50.25 <br /> 6621 ELLIOT AVE S <br /> RICHFIELD, MN 55423- Payment(s) <br /> (701)509-941 1 CHECK 8927 50.25 <br /> Minnesota State License#: plbb-PC675647 <br /> OWNER <br /> TRAINOR, HELEN <br /> 1675 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for whieh this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and thc <br /> State E3uildin�Code. This permit is for only the work described and does <br /> not grant permission for additional or related�cork 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 pennit will <br /> expire and become null and void if�construction authorired is not <br /> commenced within 180 days of the date of issuance,or i(construction is <br /> suspended 1�or a period of 180 days al any time after work has commenced. <br /> The applicant is responsible for assuring all required inspcctions are <br /> requested in conformance with the State Building Code.This permit may bc <br /> revoked at any time tgr due cause. � / <br /> i � <br /> �� ' �1 (� ��L /�: <br /> . � �� ��.,._ __ _ <br /> /l � � � <br /> Applicant�Permitee Signature atc ' Issue y Signature Date <br />