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CITY OF ORONO *� 5 - 0 0 6 Z 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3499 LYRIC AVE <br /> pi�1 : 17-117-23-43-0090 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�T TYPE : OTHER <br /> NOTE: MOVING WATER METER FROM CRAWL SPACE/WELL ROOM OUTSIDE TO INSIDE THE BASEMENT WALLS INSIDE. <br /> PUBLIC WORKS TO INSPECT. CALL 952-249-4700 TO SET UP AN APPOINTMENT. <br /> APPROVED BY SCOTT IN PUBLIC WORKS <br /> VALUATION OF PLUMBING 1350 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.68 <br /> ARCHER PLUMBING LLC TOTAL 50.68 <br /> 6521 42ND AVE N Payment(s) <br /> CRYSTAL, MN 55427- CHECK 4181 50.68 <br /> (763)238-7589 <br /> Minnesota State License#: plbg-W 150193261 <br /> OWNER <br /> SCHMID, MARK <br /> 3499 LYRIC 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 onty the work described and does <br /> not grant permission for ad ' nal or related work which requires separate <br /> permits. All provisions o s and ordinances goveming this type of work <br /> shall be compied with er or not specified herein.This pertnit will <br /> expire and become n d void if construction authorized is not <br /> commenced within l days of the date of issuance,or if conswction 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 S[ate Building Code.This permit may be <br /> revoked at any tim e ca � (�� <br /> t`i�/ <br /> �/�------- � `� ! ��� l LY�C �C� � � ( �}' � I�`. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />