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CITY OF ORONO * 2 0 1 5 - 0 0 5 2 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 05/OU2015 <br /> , ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 860 NORTH ARM DR <br /> PIN : 07-117-23-12-0029 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 KITCHEN SINK, 1 DISHWASHER, 1 MISCELLANEOUS <br /> VALUATION OF PLUMBING 1590 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.80 <br /> SPRING PLUMBING LLC MAIL-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- TOTAL 52.80 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#:plbg-066807 PM CREDIT CARD 0380 52.80 <br /> OWNER <br /> DAVIDSON,RONALD&NDITH <br /> 860 NORTH ARM DR <br /> MOLJND,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 goveming this rype 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 /> �a.� ( ��.� c���-�` � � � � <br /> Applicant Permitee Signature Date Issued By Sign ture Date <br />