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CITY OF ORONO * Z 0 1 3 - 0 0 6 3 � <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1121 NORTH ARM DR <br /> PIN : 07-117-23-14-0063 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)SHOWER AND(2)LAVATORIES <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MINNESOTA MASTER PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> 24128 E TYPO DR NE <br /> STACY,MN 55079- TOTAL 51.00 <br /> (651)270-5782 PAID WITH CC# 5947 <br /> OWNER <br /> SOLIE,GLENN <br /> 1121 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 days at any time after work has commenced. <br /> The applicant is res si for ring all required inspections are <br /> requested in tate Building Code.This permit may be <br /> revoke an m <br /> �� � ��j ] �/D <br /> ermitee Signature Date Issu By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />