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, CITY OF ORONO * 2 0 1 2 — fd 1 1 7 8 * <br /> , 2750 KELLEY PARKWAY DATE ISSUEll: 1U16/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3443 CRYSTAL PL <br /> PIN : 17-117-23-43-0005 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIV TYPE : FIXTURES- MULTIPLE <br /> NO"1'E: YLUMI3ING FIXTURES: <br /> (2)WATGR CLOSETS,(2)LAVATORIES,(1)BATHTU[3,(1)KITCHEN SINK,(1)D[SNOSAL,(1)DISHWASH�R,(1)SILLCOCK <br /> (2)PLOOR DRAINS,(1)WASHER AND(I)WATER HEATER <br /> VALUATfON OF PLUMBING 4000 <br /> APPLICANT PLUMBING F[XTURE FEE 50.00 <br /> CHARLES WICKENHAUSER STATE SURCHARGE PLBG (VALUATION) 2.00 <br /> 265 WINKLER TRAIL <br /> COLOGNE, MN 55422- TOTAL 52.00 <br /> (763)221-5441 PAID WITH CASH 52.00 <br /> OWNER <br /> GULLICKSON, FRITZ <br /> 3443 CRYSTAL PL <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I'he work for which this permit is issucd shall be perlormed according to <br /> the approved plans and specitications,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 scparatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This perniit will <br /> expire and become null and void if construction autho '� is not <br /> commenced within I A ays of the date of iss e if construction is <br /> suspended for a p � of 180 da� t an� me er work has commenccd. <br /> The applican � esponsible � s 'ng equired inspcctions are <br /> reque i� onfonna � � S e � i ing Code.'This pennit may be <br /> r oked any ti o ue c <br /> � �/ / �� / /Z <br /> A licant Permitee Signature Date Issu By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />