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! <br /> ��" CITY OF ORONO * 2 0 1 3 - 0 0 7 1 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3625 EILEEN ST <br /> PIN ; OS-117-23-21-0024 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: BASEMI�;N"C: 3 WC,3LAV, 1 TUB,2 SHOWER <br /> 1ST PL: 3 WC,4 LAV, 1 TUB, l SHOWER, 1 K[TCI{EN SINK, I DISPOSAL, ] DISI IWASHER,2 SILLCOCKS, 1 LAUNDRY TRAY, 1 <br /> WASHER <br /> VALUATION OF PLUMBING 17000 <br /> APPLICANT <br /> PH MECHANICAL PLUMBING FIXTURE FEE 212.50 <br /> 5056 SULGROVE RD STATE SURCHARGE PLBG (VALUATION) 8.50 <br /> MOUND, MN 55364- TOTAL 221.00 <br /> (612)418-1 123 PAID WITH CC# 6894 <br /> OWNF.R <br /> RYAN, BOB <br /> 3625 EILEEN ST <br /> MAPLG PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork 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 /> pennits. All provisions of laws and ordinances governing diis 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 authorized is not <br /> commenced within 1 AO days oY the date of issuance,or if construction is <br /> suspended f period of 180 days at any time atter work has commenced. <br /> �he appli nt responsible for assuring all required inspections are <br /> requeste in onformance with e State Building Code.This permit may be <br /> revok ny[ime f due �se. <br /> � � � � / / <br /> Applicant Permi�e Signature Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />