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CITY OF ORONO * 2 (d 1 3 — 0 1 0 PJ 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 <br /> ORONO, MN 55356- <br /> �'` (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 880 PARTENWOOD RD <br /> PIN : OS-117-23-43-0001 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTiON TYPE : FIXTURES- MULTIPLE <br /> NOTF,: 2 WATER CLOSETS,2 LAVATORIES,2 SHOWERS <br /> VALUATION OF PLUMBING 5500 <br /> APPLICANT PLUMBING FIXTURE FEE 68.75 <br /> NYBO-PETERSON CO. INC. STATE SURCHARGE PLBG (VALUATION) 2.75 <br /> 6606 280TH. STREET <br /> MN 55088- TOTAL 71.50 <br /> (952)461-2749 PAID WITH CC# 8865 <br /> Minnesota State License#: 058650 <br /> OWNER <br /> GRAY, JERRY&CYNTHIA <br /> 880 PARTENWOOD RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 /> no[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 an void if construction au[horized is not <br /> commenced within ys of the date of issuance,or if construction is <br /> suspended for,a�riod o 80 days at any time afrer work has commenced. <br /> The applica iC s resp ible for ur ng all required inspections are <br /> requeste n co fo nce wit te Building Code.This permit may be <br /> revok at t� for du se / �,''�,��� <br /> �_+, <br /> l 2G l� , � ;/, _ ` �''_7'_z�'�, ,f./, � i� � r .: <br /> Applicant Permitee Sig ture Date Issued By Signa ure Date � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />