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� � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 3 - 0 PJ 9 1 3 * <br /> DATE ISSUED: 09/06/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 135 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0007 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2ND FLOOR: 1 WC,2 LAV, 1 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PARK PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> P.O. 896 <br /> WINSTED, MN 55395- TOTAL 51.50 <br /> ( (p l 2 `jQ 8 �v��` PAID WITH CC# 1110 <br /> Minnesota State License#: PC643184 <br /> OWNER <br /> ANDERSON,DAVID <br /> 135 LUCE LINE RIDGE <br /> MAPLE PLAIN,MN 55359- <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 /> permiu. All provisions of laws and ordinances goveming 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 construetion 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 /> requested in conformance with the e Building Code.This permit may be <br /> revoked at ti for du aus <br /> -�b q l D l a2�1,3 / <br /> Appli nt erm'ee Signature Date Issued By Si a re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. <br />