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CITY OF ORONO * 2 0 1 7 - 0 0 0 5 0 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 02/OU2017 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 680 NORTH ARM DR <br /> P[N : 06-117-23-43-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 362 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: ADDING&REPLACING FIXTURES:2 WATER CLOSETS,2 LAVATORY, 1 BATHTUB, i SHOWER <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> STATE SURCHARGE PLBG(VALUATION) 3.00 <br /> GIRARD, BRIAN& SANDRA TOTAL 78.00 <br /> 680 NORTH ARM DR <br /> MOLJND, MN 55364- Payment(s) <br /> CHECK 10462 78.00 <br /> OWNER <br /> GIRARD,BRIAN&SANDRA <br /> 680 NORTH ARM DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State�uilding Code.This permit may be /�, �` <br /> revoked at any time for due cause. -- � r/L / <br /> � <br /> �" ��,�L�- \ ��--C.��L- `� � � <br /> � / / � <br /> pplica Permitee Signature Da [ssued By Signature Date <br />