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CITY OF ORONO * Z 0 1 5 - 0 1 4 9 6 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3422 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0022 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 021 BLOCK 002 <br /> PERMIT TYPE : PLUMBWG(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)D[SPOSAL,(1)LAUNDRY TRAY,(1)WATER HEATER <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.25 <br /> STEWART PLUMBING, INC. MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 53.25 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 53.25 <br /> Minnesota State License#: plbg-PC000474,mech-MB003262 <br /> OWNER <br /> ANDERSON&MATT LABODA, LUKE <br /> 3422 LIVINGSTON AVE <br /> WAYZATA, MN 55391 <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 does <br /> not gran[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 ifconstruc[ion authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of I80 days at any[ime afrer 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 /> // � ►ZG/ /S <br /> Applicant Permitee Signature Date Issued By ature Date <br />