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• � CITY OF ORONO * z 0 1 4 - 0 0 z z z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 LEAF ST <br /> PIN : OS-117-23-11-0014 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 3 <br /> : LOT 1 BLOCK 3 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(I)LAVATORY,(1)SHOWER AND(1)WET BAR <br /> VALUATION OF PLUMBING 3100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.55 <br /> STEINKRAUS PLUMBING INC. MAIL-IN FEE 2.00 <br /> 112ESTHST <br /> SUITE 101 TOTAL 53.55 <br /> CHASKA, MN 55318 Payment(s) <br /> (952)361-0128 CREDIT CARD 8790 53.55 <br /> OWNER <br /> KAPSNER,JASON&JULIE <br /> 75 LEAF ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvais,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 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 1 SO 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 / ���Y�a.{'L- �- l/ l � <br /> Applicant Permitee Signature Da e Iss d By Signature Date <br />