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, CITY OF ORONO * z 0 1 3 - 0 0 0 8 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU3U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1205 NORTH ARM DR <br /> PIN : 07-117-23-41-0013 <br /> LEGAL DESC : SAGA H(LL REVISED <br /> : LOT 001 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: MOVING GX1SI�ING FIXTURES: (I)WATGR CLOSE7',(1)1,AVATORY,(1)13A'I�EITU13,(1)KI"I'CHGN SINK(1)D[SPOSAL <br /> (1)LAUNDRY TRAY AND WATER SOFTENER <br /> NEW FIX"CURF,S-(1)LAVATORY,(1)D[SHWASHER AND 91)WATER HEATER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 50.00 <br /> GBG MECHAN[CAL STATE SURCHARGE PLBG (VALUATION) 0.75 <br /> P O BOX l 52 <br /> CHASKA, MN 553]8- TOTAL 50.75 <br /> (612)743-3 l 16 <br /> OWIVER <br /> THARALDSON, BREVIK <br /> 1205 NORTH ARM DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for wl�ich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding 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 tllis type of work <br /> shall be compied with whcther or not specitied herein.'Chis 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 consVuction is <br /> suspended for a period of I 80 days at any time alter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in eonformance with the State Buildin�Code.This permit may bc <br /> revoked at any time for due cause. �,���� <br /> ;..�_-_-.—....... ---- � > . /� <br /> -- i.�� i / , � �� l i / <br /> App ' L-I-'e�i e Signature Date ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />