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' ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 7 8 1 * <br /> DATE ISSUED: 07/23/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2595 LYDIARD CIR <br /> PIN : 20-117-23-11-0004 <br /> LEGAL DESC : APPLE HILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: RE-PIPE TWO LAUNDRY BOXES <br /> VALUATION OF PLUMBING 475 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 0.24 <br /> 1216 82ND AVE N MAIL-IN FEE 2.00 <br /> BROOKLYN PARK,MN 55444- TOTAL 52.24 <br /> (763)561-3306 Payment(s) <br /> CREDIT CARD 0009 52.24 <br /> OWNER <br /> LEUPKE,JOHN <br /> 2595 LYDIARD <br /> EXCELSIOR,MN 55331- <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 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 due cause. <br /> � " 7� r o� G��vu.a�� 7 3 ,i <br /> Applicant Permitee Signature Dat Issu By Signature Date <br />