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CITY OF ORONO * 2 ld 1 6 — PJ 1 3 6� <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2016 <br /> � ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 865 FERNDALE RD W <br /> PIN : 02-117-23-44-0006 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 184 <br /> : LOT 104 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)GARAGE FLOOR DRAINS <br /> (1)GARAGE SILCOCK <br /> VALUATION OF PLUMBING 2035 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.02 <br /> BENCHMARK PLUMBING TOTAL 51.02 <br /> 5952 ASHER AVE <br /> INVER GROVE HEIGHTS,MN 55077 Payment(s) <br /> CRED[T CARD 2233 51.02 <br /> (651)755-8078 <br /> OWIVER <br /> ERICKSON & SHARON NESB[TT, STEVEN <br /> 865 FERNDALE RD W <br /> ORONO, MN 55391- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for��hich this permit is issued sh�ll be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. T'his 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 type 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 /> requested in conformance with the State Building Code.This permit may be <br /> revokcd at any time for due cause. t <br /> � _ <��� �o -�-�� e �.r -�, � �� ,���i,h <br /> Applicant Permitee Signature Date Issue By ig ature Date <br />