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• CITY OF ORONO * z 0 1 7 - a 0 z 1 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/08/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2732 CAROLINE AVE <br /> PIN : 20-117-23-24-0041 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1451 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)EACH: WATER CLOSE"C,LAVATORY,SHOWER,KITCHEN STNK,D[SHWASHER, FLOOR DRAIN,WATER HEATER <br /> VALUATION OF PLUMBING 6950 <br /> APPLICANT PLUMBING FIXTURE FEE 86.88 <br /> STATE SURCHARGE PLBG(VALUATION) 3.48 <br /> B& B PLUMBING TOTAL 90.36 <br /> 25593 109TH ST <br /> ZIMMERMAN, MN 55398- Payment(s) <br /> (612)239-6149 6 CHECK 3841 90.36 <br /> Minnesota State License#: plbg-PC675878,mech-MB704145 <br /> OWIYER <br /> LUND, ROBERT <br /> 2732 CAROLINE AVE <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 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 governing 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 /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I RO 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 apy time for due cause. _ <br /> - _,.:..�� � <br /> :._.�.'. _...,_. . � � � <br /> ..�.�;�::;:��� � � �v ���� � � �/7 <br /> Appli �nt Permitee Signature Date Issued ignature Date <br />