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� . � <br /> i <br /> ; CITY OF ORONO PERMIT NO.: 2010-01169 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3556 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0040 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> ' CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE KITCHEN SINK <br /> i <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN,MN 55123- MAIL-IN FEE 2.00 <br /> Q TOTAL 22.00 <br /> Minnesota State License#: 61770PM <br /> OWNER <br /> LONG,CHRISTIAN&NANCY <br /> 3556 LNINGSTON 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 Ciry approvals,and the <br /> ' State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for du cause. <br /> � / ��i �v <br /> , App icant Permitee ignature Date /��/� l� <br /> Iss By Signature Date <br /> ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />