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' CITY OF ORONO * z 0 1 5 - 0 1 5 0 3 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 1U24/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 577 PARK LA <br /> PIN : 06-117-23-41-0046 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 012 BLOCK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)KITCHEN SINK AND(1)DISHWASHER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> WESTIN PLUMBING&HEATING INC <br /> 15494 67TH STREET TOTAL 50.75 <br /> BECKER, MN 55308- Payment(s) <br /> (763)913-8613 CREDIT CARD 6236 50.75 <br /> Minnesota State License#: <br /> PLUM-PC645827,mech-MB003074 <br /> OWNER <br /> TEELE&AMY SULLIVAN-TEELE, BRENT <br /> 577 PARK LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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]80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for usuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time fo ue cause. — <br /> �v � ,/S <br /> Applicant Perrp�e i nature Date Issued ignature Date <br />