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CITY OF ORONOi I I <br /> * 2O7 007BB * <br /> ti 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 615 ORCHARD PARK RD <br /> PIN : 31-118-23-11-0006 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> ACTIVITY : 0/S GENERAL <br /> NOTE: WATER CLOSET,LAB,TUB,SHOWER,LAUNDRY TRAY <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> MUSKA PLUMBING TOTAL 52.00 <br /> 1985 OAKCREST AVE <br /> Payment(s) <br /> ROSEVILLE,MN 55113- CREDIT CARD 4973 52.00 <br /> 286-00 <br /> (651)286-0056 <br /> OWNER <br /> LANG,MR&MRS KEVIN <br /> 615 ORCHARD PARK 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 /> ("7 k &-rc9 7 /(D A <br /> Applicant Permitee Signature Date Issued By Signature Date <br />