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° CITY OF ORONO * 2 0 1 2 — 0 fd 3 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/02/2012 <br /> � ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1370 NORTH ARM DR <br /> PIN : 07-117-23-41-0050 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLF� <br /> NOTE: 1STFLOOR: 1 WC, 1 LAV, 1 SHOWER <br /> 2ND FLOOR: 1 WC, 1 LAV, 1 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 2800 <br /> APPLICANT pLUMBING FIXTURE FEE 50.00 <br /> M&S PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.40 <br /> 23581 HEATHER ST NW <br /> ST FRANCIS,MN 55070- TOTAL 51.40 <br /> Minnesota State License#:PC643819 PAID WITH CC# 9569 <br /> OWNER <br /> FAHDEN,JACK&CARLA <br /> 1370 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 dces <br /> not gant permission for additional or related work which requires separate <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 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 t State Building Code.This permit may be <br /> revoked at any time for due <br /> xr S Z l 1 Z <br /> i i <br /> A plicant Permitee Sigr►ature Date Issue By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOVE. <br />