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I <br /> ,, CITY OF ORONO �0 i 5 _ 0 0 7 3 4 * <br /> R 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015 <br /> ORONO,MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3585 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0050 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT O10 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 LAVATORY, 1 KITCHEN SINK, 1 DISHWASHER, I SILCOCK, 1 LAUNDRY TRAY, 1 WATER HEATER <br /> VALUATION OF PLUMBING 3500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.75 <br /> RANDY LANE& SONS PLUMB&HEAT TOTAL 51J5 <br /> 1501 WEST BROADWAY Payment(s) <br /> MINNEAPOLIS, MN 55411- CHECK 6009 51.75 <br /> (612)521-8835 <br /> OWNER <br /> SALLAS,CATHERINE <br /> 3585 LIVINGSTON 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 sepazate <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all cequired inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �,' �,��ti� / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />