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a <br /> T � CITY OF ORONO * Z � 1 5 — 0 0 3 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1359 PARK DR <br /> PIN : 07-117-23-41-0082 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: GAS DRYER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 5.00 <br /> MN PLUMBING&APPLIANCE INC. MAIL-IN FEE 2.00 <br /> 14105 RUTGERS STREET NE <br /> PRIOR LAKE, MN 55372- TOTAL 22.00 <br /> (952)469-8341 Payment(s) <br /> Minnesota State License#: cont-58455-PM CHECK 1547 22.00 <br /> OWNER <br /> EASTMAN, ROBERT&SUSAN <br /> 1359 PARK DR <br /> MOUND, MN 55364- <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 /> � , �U� <br /> �� ��� I �,��'� 1,� C. �. l:l'l'`l C� � l � %�. l' / �� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />