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" CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 6 - 0 0 5 1 4 * <br /> DATE ISSUED: OS/12/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1825 CONCORDIA ST <br /> PIN : 17-117-23-22-0015 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 008 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACING 1 WATER CLOSET& 1 BATHTUB <br /> VALUATION OF PLUMBING 12000 <br /> APPLICANT PLUMBING F[XTURE FEE 150.00 <br /> LECY BROS HOMES STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> 15012 HWY 7 TOTAL 156.00 <br /> MINNETONKA, MN 55345- Payment(s) <br /> (952)944-9499 CHECK 45086 156.00 <br /> Minnesota State License#: BUIL-20325555 <br /> OWNER <br /> WING,JOHN& LISA <br /> 1825 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> �he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,appiicable 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 rype 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 period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste in conformance with the State Building Code.This permit may be <br /> revo�c d at ny�ime for due use. �< ��� <br /> i' <br /> �/ ��� �l� , �J � �`-�'� �`S L <br /> � <br /> Applicant Permitee Signature Date Issued B Signature Date <br /> wy� <br />