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' -- CITY OF ORONO * 2 0 1 7 - 0 0 1 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/OU2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1565 FAIRVIEW COTTAGE LA <br /> PIN : 07-117-23-43-0033 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(I)SHOWER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PAVEK PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> TOTAL 51.00 <br /> 4550 COLJNTY RD 10 N Payment(s) <br /> WATERTOWN,MN 55388 CREDIT CARD 9574 51.00 <br /> �) <br /> Minnesota State License#:plbg-60617-PM <br /> OWNER <br /> MARY SNYKER BECKER,TIMOTHY BECKER& <br /> 1565 FAIRVIEW COTTAGE LANE <br /> MOLJND,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 dces <br /> not grant permission for additional or related work which requires separate <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 wili <br /> expire and become nutl 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 /> �-�'�-- /� -� �v �; / � /7 <br /> Ap ' t Permitee Signature Date Issued By gnature Date <br />