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CITY OF ORONO Ill 1 PI 1111 11�l III III 15HI <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3135 JAMESTOWN RD <br /> PIN : 28-118-23-33-0016 <br /> LEGAL DESC : LIBERTY ACRES <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)LAVATORY,(1)BATHTUB,(1)SHOWER <br /> VALUATION OF PLUMBING 7250 <br /> APPLICANT PLUMBING FIXTURE FEE 90.63 <br /> STATE SURCHARGE PLBG(VALUATION) 3.63 <br /> GLACIER PLUMBING INC MAIL-IN FEE 2.00 <br /> 680 VALHALLA DR NE <br /> CEDAR,MN 55011- TOTAL 96.26 <br /> (763)413-1883 Payment(s) <br /> Minnesota State License#:plbg-PC643630,mech-M13003957 CREDIT CARD 6703 96.26 <br /> OWNER <br /> ROYAL,DAVID&STACEY <br /> 3135 JAMESTOWN RD <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. <br /> 41! 1 . (7z /3iIS` <br /> Applicant Permitee Signature Date Issues ,:y Signature Date <br />