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CITY OF ORONO II I II I I I 111 1111111 I I I I I I I I I II 11 I,III <br /> • 2750 KELLEY PARKWAY * DANE ISSUED: 04/13/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 450 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0014 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: KITCHEN SINK AND DISHWASHER <br /> VALUATION OF PLUMBING 1300 <br /> • <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.65 <br /> PPS PLUMBING LLC TOTAL 50.65 <br /> 985 CENTURY AVE N Payment(s) <br /> MAPLEWOOD,MN 55109- CREDIT CARD 7625 50.65 <br /> (612)868-7278 <br /> OWNER <br /> POLICINSKI,CHRISTOPHER&ANNE <br /> 450 OLD LONG LAKE RD <br /> WAYZATA,MN 55391- <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 /> revgkcd at any time d - cause <br /> _ 1 �3 5 <br /> • •plicant Permit `tgn •. e Iss d By Signature Date <br />