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„ • <br /> CITY OF ORONO * Z 0 1 2 - 0 0 9 2 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/14/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1465 FOX ST <br /> PIN : 02-117-23-33-0002 <br /> LEGAL DESC : UNPLATTED 02 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTG: REPLACE WATER I IEATER <br /> VALUATION OF PLUMBING 1791 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> SODERLIN PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.90 <br /> 3612 CEDAR AVE S <br /> MINNEAPOLIS, MN 55407- MAIL-IN FEE 2.00 <br /> (612)721-4080 TOTAL 52.90 <br /> OWNER <br /> FIELDS, STEPHEN <br /> 1465 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shal!be compied with whether or no[specitied herein."Chis 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 180 days at any time after work has commenced. <br /> The applicant is responsible lor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C VIi�-G(-L� -�j l ��l / Y � � l 1 �fl / a-- <br /> Applicant Permrtee Signature Date lssued I3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />