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� � CITY OF ORONO * 2 0 1 5 — 0 0 3 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/25/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2749 KELLY AVE <br /> PIN : 21-117-23-23-0027 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0891 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 BATHTUB& 1 SHOWER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> RIGHTMARK LLC STATE SURCHARGE PLBG(<$500) 5.00 <br /> P.O. BOX 343 TOTAL 20.00 <br /> BUFFALO, MN 55313- Payment(s) <br /> CHECK 8594 20.00 <br /> OWNER <br /> TEARLE,CHAD&ELEANOR <br /> 2749 KELLY AVE <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> 'Che work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only[he 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � �� <br /> `�l� �� � � ��l�� � � � J� � �S� � <br /> Applicant Perm' ure Date Issued By S� nature � Date <br />