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CITY OF ORONO I I I I II �� 1111 II III III 11 II ! ! II <br /> * <br /> 2750 KELLEY PARKWAY * 1 7 - 007 1 5 <br /> DATE ISSUED: 06/27/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1100 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-14-0001 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> EXCEL MECHANICAL,INC. TOTAL 50.75 <br /> 11582 COUNTY RD 13 <br /> WATERTOWN,MN 55388 RED <br /> CPayment(s) <br /> (952)393-2403 CREDIT CARD 5844 50.75 <br /> OWNER <br /> GRAHAM,ROBERT GUMNIT AND FRANCES <br /> P.O.BOX 85 <br /> CRYSTAL BAY,MN 55323- <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 /> 7 // <br /> 7 <br /> lean ermrtee tgnature Date Issued B ignature Date <br />