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CITY OF ORONO * z p� 1 5 - 0 1 z 1 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/2U2015 <br /> • ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2755 ETHEL AVE <br /> PIN : 20-117-23-24-0017 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS <br /> (5)LAVATORIES <br /> (2)[3ATHTUBS <br /> (1)KITCHEN SINK <br /> (2)SILLCOCKS <br /> (1)FLOOR DRA[N <br /> (1)LAUNDRY TRAY <br /> (1)WATER HEATER <br /> VALUATION OF PLUMBING 10000 <br /> APPLICANT PLUMBING FIXTURE FEE 125.00 <br /> STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> BEN SCHERER PLUMBING& HVAC INC. TOTAL 130.00 <br /> 4520 85TH STREET SE <br /> DELANO, MN 55328- Payment(s) <br /> (763)972-8137 CREDIT CARD 4343 130.00 <br /> OWNER <br /> Everlast Enterprises,Inc. <br /> CLEARY,JAMES <br /> 4109 NORTH SHORE DR <br /> MOUND,MN 55364- <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 goveming this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construc[ion authorized is no[ <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime 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 /> r <br /> ��' v-��C` `"� l�1 � !� _. <br /> Applicant Permitee Signature Date Issued Signature Date <br />