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µ � CITY OF ORONO * Z 0 1 4 - 0 PJ 0 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O]/30/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1447 PARK DR <br /> PIN : 07-117-23-42-0021 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 008 BLOCK O15 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)KITCHEN SINK,(1)DISHWASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> BEN SCHERER PLUMBING&HVAC INC. TOTAL 51.50 <br /> 4520 85TH STREET SE Payment(s) <br /> DELANO,MN 55328- <br /> (763)972-8137 CHECK 7412 51.50 <br /> OWNER <br /> PALM,MARK&PAMELA <br /> 1447 PARK DR <br /> MOLJND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 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 180 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time aRer 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 time for due cause. <br /> ����`�' ��b�� �l i ,3� �/ `� <br /> Applicant Permitee Signature Date Issue y Signature Date <br />