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CITY OF ORONO * 2 0 1 7 - PJ 0 3 4 8 * <br /> • 2750 KELLEY PARKWAY DATE [SSUED: 04/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3051 FARV[EW LA <br /> PIN : 04-117-23-33-0009 <br /> LEGAL DESC : FARVIEW <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACING FIXTURES: I WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 125 <br /> BOE PLUMBING TOTAL 51.25 <br /> 15481 KIOWA ST. <br /> ANDOVER, MN 55304 Payment(s) <br /> (763)757-1991 CHECK 4508 51.25 <br /> Minnesota State License#: plbg-PC644079 <br /> OWNER <br /> DELANEY, DAVID&FRANCINE <br /> 3051 FARVIEW LA <br /> LONG LAKE, MN 55356- <br /> AGREEME1vT 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 /> cxpire 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 SO days at any time afrer work has commenced. <br /> The applicant responsible for assuring all required inspections are <br /> requested in formance w'th the State Building Code.This permit may be <br /> revoked at an im or due se. ' �, <br /> t�,` ,` <br /> � � � � <br /> � r <br /> j ��.u�r�S�-,`� �`,�:��u. � .� -l <br /> Applicant Per itee Signature a e Issued By Signature � Date <br />