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CITY OF ORONO 111111111111111 1111111111111111111 <br /> * 20 1 8 - 000 -7 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/22/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2927 FARVIEW LA <br /> PIN : 04-117-23-34-0010 <br /> LEGAL DESC : FARVIEW <br /> : LOT 010 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSETS <br /> (1)LAVATORY <br /> (1)BATHTUB <br /> (1)SHOWER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> BEN SCHERER PLUMBING&HVAC INC. TOTAL 51.00 <br /> 4520 85TH STREET SE <br /> DELANO,MN 55328- Payment(s) <br /> (763)972-8137 CHECK 8604 51.00 <br /> Minnesota State License#: mech-MB003633,plbg-PC648530 <br /> OWNER <br /> HARRIS,MARGHERITA G <br /> 2927 FARVIEW LA <br /> LONG LAKE,MN 55356- <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 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 Building Code.This permit may be <br /> revoked at any time for due cause. r (� Q� <br /> /-�/— o 1lU l /C3D•I / <br /> Applicant Permitee Signature Date Issued By S ature Date <br />