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CITY OF ORONO * 2 0 1 5 - 0 0 1 4 Z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 <br /> ORONO, MN 55356- <br /> � 952) 249-4600 FAX: 952 249-4616 <br /> ADDFESS : 635 FERNDALE RD N <br /> PIN : 36-118-23-I1-0009 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : F[XTURES-MULTIPLE <br /> NOTE: MULTIPLE FIXTURES, KI"[�CHEN SINK,DISPOSAL,DISHWASHER,SILLCOCKS <br /> VALUATION OF PLUMBING 3800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.90 <br /> SIGNATURE MECHANICAL INC. MAIL-IN FEE 2.00 <br /> 8260 ARTHUR STREET NE TOTAL 53.90 <br /> SUITE A <br /> SPRING LAKE PARK, MN 55432- Payment(s) <br /> (763)788-9844 CREDIT CARD 8517 53.90 <br /> OW1vER <br /> VICTORIA O'NEILL, LARRY JACOBSON&VICTORIA <br /> 635 FERNDALE RD N <br /> WAYZATA, MN 55391- <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 approvais,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.'I'his 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 /> suspendcd 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 /> �� �(-'[.� � �"�i1 � �- �L. ��l ��l � l � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />