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. <br /> CITY OF ORONO * z � 1 3 - 0 0 0 7 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 185 CYGNET PL <br /> PIN : 04-117-23-23-0011 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATGR SOFTF,NER <br /> APPLICANT PLUMBING FIXTURE FEE (<$500) 15.00 <br /> APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> (952)445-4803 � TOTAL 22.00 <br /> Minnesota State License#: 057209PM <br /> OWNER <br /> EZELL, ROXANNE& ROGER <br /> 185 CYGNET�L _ <br /> LONG LAKE, MN 55�56- <br /> AGREEMENT AND-SW4RN-STATEMENT <br /> l�he 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 L3uilding Code. This permit is for only the�work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permils All provisions oflaws and ordinances goveniing 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 /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> � � / /2�/�� // a3 � / <br /> Applicant Permitec Si� • re Date I,s d E3y Signaturc Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBGD ABOVE. <br />