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. � <br /> CITY OF ORONO * 2 0 1 3 - 0 0 2 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/26/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> ; LOT 023 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,((1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER, <br /> (2)SILLCOCKS,(I)FLOOR DRAIN,(1)LAUNDRY TRAY,(i)WASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 13500 <br /> APPLICANT PLUMBING FIXTURE FEE 168.75 <br /> SERVIN PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 6.75 <br /> 24752 705TH AVE <br /> DASSEL,MN 55325 MAIL-IN FEE 2.00 <br /> (320)275-0190 TOTAL 177.50 <br /> OWNER <br /> MUSGJERD, SCOTT&MELISSA <br /> 4156 HIGHWOOD RD <br /> MOUND,MN 55364- <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �/ � L ����U l Z�jl L3 <br /> Applicant Permitee Signature Date ss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />