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CITY OF ORONO * 2 0 1 3 - 0 0 P1 4 4 * <br /> , � 2750 KELLEY PARKWAY DATE ISSUED: O1/16/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1245 LAKEVIEW AVE <br /> PIN : ]0-I17-23-24-0024 <br /> LEGAL DESC : MAXWELLS ADDN CRY�TAL.:BAY LAKE <br /> : LOT 000 BLOCK 001 • � <br /> PERMIT TYPE : PLUMB[NG(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: REPLACE KITCHEN SINK. DISPOSAL AND DISHWASHER <br /> VALUATION OF PLUMB[NG 2740 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> K& K HEATING& PLUMBING STATE SURCHARGE PLBG (VALUATION) 1.37 <br /> 6000 LONE OAK ROAD TOTAL 51.37 <br /> ROCKFORD, MN 55373 <br /> O PAID WITH CC# 3732 <br /> OWIVER <br /> NORD, KEITH S <br /> 1245 LAKEVIEW AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work 1or which this permit is issued shall be performed according to <br /> thc approved plans and specitications,applicable Ciry approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This pemiit may be <br /> revoked at any time for due cause. <br /> �C� / � ���� / / /� / / <br /> Applicant Permitee Signature ate Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />