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CITY OF ORONO �* �� I �*i <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4515 WOLVERTON PL <br /> PIN : 31-118-23-31-0008 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER <br /> VALUATION OF PLUMBING 3541 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PALADIN PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.77 <br /> 13963 45TH PLACE NE TOTAL 51.77 <br /> ST MICHAEL,MN 55376- Payment(s) <br /> (763)432-5260 CHECK 3402 51.77 <br /> Minnesota State License#: plbg-PC644101,mech-MB005632 <br /> OWNER <br /> KIRKPATRICK,GREGORY&KATHY <br /> 4515 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359 <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 a any time for due cause. <br /> Iow I/ 7 <br /> Applicant Permitee Signature Date Issued B ignature Date <br />