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` � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 5 4 0 * <br /> DATE ISSUED: 1U2U2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1448 PARK DR <br /> PIN : 07-117-23-43-0027 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER HEATER,(1)WATER SOFTENER,(1)ITON FILTER <br /> VALUATION OF PLUMBING 8100 <br /> APPLICANT PLUMBING FIXTURE FEE 101.25 <br /> STATE SURCHARGE PLBG(VALUATION) 4.05 <br /> BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00 <br /> 5718 INTERNATIONAL PKWY <br /> NEW HOPE,MN 55428- TOTAL 107.30 <br /> (612)23&9709 Payment(s) <br /> Minnesota State License#:plbg-PC643703,mech-MB004722 CREDIT CARD 3853 107.30 <br /> OWNER <br /> ERICKSON,DAVID&LAREL <br /> 1448 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 dces <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 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 requ'ved inspections are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> �iL GiJ G l�-i l <br /> Applicant Permitee Signature Date Issued By S' ture Date <br />