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� ' CITY OF ORONO * Z pJ 1 5 - 0 0 9 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/03/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3484 LYRIC AVE <br /> PIN : 17-117-23-43-0157 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT MB BLOCK 5 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> WATERTOWN PLUMBING TOTAL 16.00 <br /> 604 HILLSIDE DRIVE NW Payment(s) <br /> WATERTOWN, MN 55388- ��� �S�(� 16.00 <br /> (952)255-8212 <br /> Minnesota State License#: plbg-PC644088 <br /> OWNER <br /> Grady Restoration <br /> 760 APPLE GARDEN RD <br /> MINNETRISTA,MN 55364- <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 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 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 afrer work has commenced. <br /> The applican[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 /> r � �y <br /> � ,� -C.�(/ b l �-1 <br /> Applicant Permitee Signature Date Issued Signature Date <br />