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, , <br /> ' CITY OF ORONO * 2 0 1 5 - 0 0 7 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2015 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 25 BROWN RD S <br /> PIN : 03-117-23-21-0001 <br /> LEGAL DESC : LJNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES <br /> (1)WATERCLOSET <br /> (1)LAVATORY <br /> (1)BATHTUB <br /> (1)SHOWER <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> STATE SURCHARGE PLBG(VALUATION) 2.50 <br /> JANECKY PLUMBING INC. MAIL-IN FEE 2.00 <br /> 720 PONTIAC PLACE <br /> MENDOTA HEIGHTS,MN 55120- TOTAL 67.00 <br /> (651)365-8680 Payment(s) <br /> CREDIT CARD 1943 67.00 <br /> OWNER <br /> OTTO&JOLLY NANDA, MICHAEL <br /> 25 BROWN RD S <br /> LONG LAKE,MN 55356- <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 at any time for due cause. <br /> D �� �P /l S l,� <br /> Applicant Permitee Signature Date Issue Signature Date <br />