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� � ~ CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 3 1 4 * <br /> DATE ISSUED: 1U07/2014 <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: OK'D BY LYLE <br /> 2 BATHTUBS,2 SHOWERS,2 KITCHEN SINKS,2 DISPOSALS.2 DISHWASHERS <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> STATE SURCHARGE PLBG(VALUATION) 2.50 <br /> LEUPKE,JOHN TOTAL 65.00 <br /> 2595 LYDIARD Payment(s) <br /> EXCELSIOR, MN 55331- CASH 65.00 <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 permi[is for only the work described and does <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 construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended or a peri of 180 days at any time after work has commenced. <br /> The appli nt is res sible for assuring all required inspections are <br /> requeste � for a ce with the State Building Code.This permit may be ��_ _ <br /> revoke a y ime for ue cause. �/ <br /> (.l�- l ��'''�`'�- l � <br /> (� 7 � , `7, <br /> App e tee Si ature Date Issued By Signature Date <br /> / <br />