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� CITY OF ORONO * 2 0 1 4 - 0 0 z 1 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 405 OXFORD RD <br /> PIN : OS-117-23-41-0022 <br /> LEGAL DESC : STIELOWS 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2ND FLOOR: 1 WC, 1 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 5200 <br /> APPLICANT PLUMBING FIXTURE FEE 65.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.60 <br /> CITY VIEW PLUMBING&HEATING TOTAL 67.60 <br /> 1880 WAYZATA BLVD W <br /> P.O. BOX 150 Payment(s) <br /> LONG LAKE, MN 55356 CHECK 34379 67.60 <br /> (952)473-8793 <br /> OWNER <br /> MERIDETH,JOHN H&MARYANN B <br /> 405 OXFORD 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 Ciry 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 1 SO 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ' for due cause. <br /> � / / <br /> App icant Permitee Signature at Issued y i nature Date <br />