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� CITY OF ORONO * Z 0 1 6 - 0 0 5 1 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 CYGNET PL <br /> PIIY : 04-117-23-22-0007 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE: 1 WATER CLOSET,2 LAVATORY, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, <br /> VALUATION OF PLUMBING 10200 <br /> APPLICANT PLUMB[NG F[XTURE FEE 127.50 <br /> STATE SURCHARGE PLBG(VALUATION) 5.10 <br /> PROMECH LLC TOTAL 132.60 <br /> 12110 IDAHO AVE N <br /> CHAMPLIN, MN 55316- Payment(s) <br /> CHECK 8506 132.60 <br /> (612)518-3066 <br /> Minnesota State License#: plbg-PC643548,mech-MB005382 <br /> OWNER <br /> MCLEAN, SEAN&MARIE <br /> 25 CYGNET PL <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemiit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State[3uilding 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 compicd 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 I80 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 /> revoke at any time for due cause. � 1 <br /> � ' � Z �� � �����S� � , ! z , � l� <br /> A icant Permitee Signature� Date Issued By Signature Date <br />