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� ~ CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 3 0 2 * <br /> DATF. ISSUED: 04/10/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2620 FOX ST <br /> PIN : 04-117-23-42-0010 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NO"1'G: BnSI?MEN"I�: 1 WC, I [.AV, 1 SHOWGR <br /> VALUATION OF PLUMBING 2250 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> TRADESMAN INC STATE SURCHARGE PLBG (VALUATION) 1.13 <br /> 2942 XERXES AVE N TOTAL 51.13 <br /> MINNEAPOLIS, MN 5541 1- Payment(s) <br /> (612) 581-4472 CREDIT CARD 3024 51.13 <br /> OWNER <br /> JAFFRAY, MR. & MRS. <br /> 2620 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIVT <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 I3uilding 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 specified herein."I his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 1 AO 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 /> requestcd i conformance with the S[ate Building Code.This permit may be <br /> revo� � any ti e for d cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Sig� � re Date <br />