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�� ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 6 6 1 * <br /> DATE ISSUED: OS/26/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2850 LITTLE ORCHARD WAY <br /> PIN : 09-117-23-21-0007 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (1)KITCHEN SINK <br /> (1)DISHWASHER <br /> (1)LAUNDRY TRAY <br /> VALUATION OF PLUMBING 3200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> TRADESMAN INC STATE SURCHARGE PLBG(VALUATION) 1.60 <br /> PO BOX 26731 TOTAL 51.60 <br /> MINNEAPOLIS,MN 55426- Payment(s) <br /> (612)581-4472 CHECK 2154 51.60 <br /> OWNER <br /> SWENSON,JAY <br /> 2850 LITTLE ORCHARD WAY <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'fhe work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 1'his 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> request in nfortnance with the State B ding Code.This permit may be <br /> re at y tim r due e. <br /> � � / / <br /> plicant Permitee Signature Date Issue y Signature Date <br />