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ri 1 111 ' <br /> CITY OF ORONO ,I <br /> * <br /> 2750 KELLEY PARKWAY * 20 1 8 - 0 0 3 <br /> DATE ISSUED: 04/11 2/22 018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 755 FERNDALE RD N <br /> PIN : 36-118-23-11-0028 <br /> LEGAL DESC : LYDIARD HILLS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)LAVATORIES,(1)KICHEN SINK AND(1)WATER REFRIGERATOR <br /> VALUATION OF PLUMBING 530 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.27 <br /> FREEDOM MECHANICAL TOTAL 50.27 <br /> 8382 172ND AVE SE Payment(s) <br /> BECKER,MN 55308- CREDIT CARD 9429 50.27 <br /> (612)363-6190 <br /> Minnesota State License#:mech-004042PM,plbg-PC642836 <br /> OWNER <br /> SCHMEISSER,FREDERICK&KAREN <br /> 755 FERNDALE RD N <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 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 State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 4 <br /> Applicant Permitee Signature Date Issued B ignature Date <br />