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CITY OF ORONO * z 0 1 7 - 0 0 0 0 z * <br /> ,� 2750 KELLEY PARKWAY DATE ISSUED: OUO3/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 425 OXFORD RD <br /> PIN : OS-117-23-41-0023 <br /> LEGAL DESC : STIELOWS 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: ADDITIONAL FIXTURES: 1 WATER CLOSET,2 LAVATORY, 1 KITCHEN SINK, 1 WET BAR <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> AMERICAN MECHANICAL CO, INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 54.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 54.00 <br /> OWNER <br /> WITHROW,JOHN&JESSICA <br /> 425 OXFORD RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 no[ <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 /> � � <br /> � ! <br /> Cc I � Gl�t �_...��r�-�- 1 � �..�.� f�>` ; � � i l t <br /> � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />