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• . CITY OF ORONO * 2 0 1 7 - 0 0 3 8 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4385 CHIPPEWA LA <br /> PIN : 31-118-23-42-0017 <br /> LEGAL DESC : LJNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE WATER CLOSET AND LAVATORY <br /> VALUATION OF PLUMBING 9000 <br /> APPLICANT PLUMBING FIXTURE FEE 112.50 <br /> STATE SURCHARGE PLBG(VALUATION) 4.50 <br /> GRADY,THOMAS&MARGARET TOTAL 117.00 <br /> 4385 CHIPPEWA LA Payment(s) <br /> MAPLE PLAIN,MN 55359- CHECK 3788 117.00 <br /> OWNER <br /> GRADY,THOMAS&MARGARET <br /> 4385 CHIPPEWA LA <br /> MAPLE PLAIN,MN 55359- <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 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 l80 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 /> (� c � t (//,� �! " /! <br /> Applica Permitee gnature Date Issue y Signature Date <br />