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^ CITY OF ORONO * 2 0 1 4 — B 1 3 3 5 * <br /> � 2750 KELLEY PARKWAY naTE rssuE�: 11/1a/2o1a <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1000 COX FARM RD <br /> PIN : 27-118-23-32-0018 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE ; PLUMBING (> $500) <br /> PROPERTY TYI'F, : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WE7'I3AR <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 0.75 <br /> HUBER PLUMB[NG CO LLC TOTAL SOJS <br /> 2751 LAMPHERE DRIVE <br /> NEW HOPE, MN 55427-8 Payment(s) <br /> Minnesota State License#: PLUM-58913,mech-5901 CREDIT CARD 6648 50.75 <br /> OWNER <br /> NARUM, DAVID& CAROL <br /> 1000 COX FARM ROAD <br /> LONG LAKF,, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork t�or which this permit is issucd shall be performed according to <br /> the approved plans and specifiicalions,applicable City approvals,and tlic <br /> State Building Code. "I�his permit is for only the work describcd and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governina this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authori�ed 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 /> I he applicant is responsible 1�or assuring all required inspec[ions are <br /> requcsted in conlormance with the State[3uilding Code.This permit ma��be <br /> rev k�d at any timc for uc cause. �� <br /> ��� � � <br /> ` ll� 1 � � �-' <br /> � �l�_,L �_ ; ��-,�� ��� , �� ��- <br /> p icant mitee Signature Dal Issued By Signature � Date <br />