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CITY OF ORONO * 2 0 1 5 - 0 0 3 7 2 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 04/OU2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)LAUNDRY TRAY <br /> (1)WASHER <br /> VALUATION OF PLUMBING 1700 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.85 <br /> WELTER&BLAYLOCK INC. TOTAL 50.85 <br /> 307 PERSHING AVE.N Payment(s) <br /> NEW PRAGUE, MN 56071 CREDIT CARD 5704 50.85 <br /> Minnesota State License#:plbg-PM65425,mech-7900379583 <br /> OWNER <br /> O'CONNELL&LYNNE RASUMSSEN, BRIAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work 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 /> 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 no[ <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 for assuring all required inspections are <br /> requested in conformance th[ e S te Building Code.This permi[may be <br /> revoked y time for e a e. <br /> ; <br /> r____ � �/) / " � / � <br /> �� � <br /> A plica Permit e S' na r Date Issued y ignature Date <br />