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CITY OF ORONO * z 0 1 6 - PJ P1 3 3 7 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1424 BALDUR PARK RD <br /> PIN : 08-117-23-34-0013 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE: 1 WATER CLOSET,2 LAVATORY, 1 SHOWER <br /> VALUATION OF PLUMBING 800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.40 <br /> JS PLUMBING INC. TOTAL 50.40 <br /> 19701 261ST AVE Payment(s) <br /> BELLE PLAIN,MN 56011- <br /> (612)490-2160 50.40 <br /> Minnesota State License#: plbg-PC690348 <br /> OWNER <br /> ROHR, RICK <br /> 1424 BALDUR PARK RD <br /> WAYZATA, MN 55391- <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 type 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 construction is <br /> suspended for a peri me after work has commenced. <br /> The applica ' respo � e uring all re 'ed inspections are <br /> re m co o �t t e ilding de.This permit may be ���� <br /> vo d at an ' e fo d cause <br /> "�1 <br /> ��uC�� d�--e--�—`f SC� �� S d � <br /> pplica itee ig Date Issued By Signature Date <br />