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r CITY OF ORONO I ' �I� I 'I I I' L �0 1 1 53 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/13/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 680 ORCHARD PARK RD <br /> PIN : 32-118-23-22-0006 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (2)WATER CLOSETS,(2)LAVATORY,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER,(1)WASHER <br /> VALUATION OF PLUMBING 3550 <br /> Som All,,•edrAAL.Cai S <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> 7 STATE SURCHARGE PLBG(VALUATION) 1.78 <br /> 21005 LANGFORD AVE TOTAL 51.78 <br /> JORDAN,MN 55352 <br /> O PAID WITH CC# 1637 <br /> Minnesota State License#: 65625 <br /> OWNER <br /> WEGGE,MATT&LINDSAY <br /> 680 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 beco g e null and voi construction authorized is not <br /> corn, nced i " 180 days o date of issuance,or if construction is <br /> sus J-n,ed , . ., of 180 : • at any time after work has commenced. <br /> T •ap,lie. .I,si. for. uring all required inspections are <br /> re,uest d in , • 1. ce i ith i:State Building Code.This permit may be <br /> re o r u at. .,1 t 4 o du;cau / <br /> � ► 1 Li1 '� / \i? / \1 off • . i/ / 13 /12-- <br /> App' cant Pe -itee Sign.tu'• ' Date Iss i. By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />