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CITY OF ORONO I ISI I� I I I 1 I I I I I 1 1 <br /> * 20 1 8 - 0 0 1 2 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/05/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 BEDERWOOD DR <br /> PIN : 05-117-23-12-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)WET BAR <br /> VALUATION OF PLUMBING 3200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.60 <br /> BOEVAAG PLUMBING INC. <br /> P.O.BOX 1257 TOTAL 51.60 <br /> PRIOR LAKE,MN 55372- <br /> Payment(s) <br /> (952)440-3792 CREDIT CARD 5130 51.60 <br /> Minnesota State License#:plbg-PC6433 15 <br /> OWNER <br /> AZAD,ALISHAH <br /> 200 BEDERWOOD DR <br /> LONG LAKE,MN 55356- <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confo .-.. ce with a State Building Code.This permit may be <br /> revoked at any t',tror due c 'se. <br /> -'4// jf2I51 , 3 / IK <br /> Permitee Signature Date Issued By Si itit re Date <br />