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" � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 5 9 2 * <br /> DATE ISSUED: 06/25/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1375 REST POINT RD <br /> PIN : 07-117-23-32-0037 <br /> LEGAL DESC : SUBD REST POINT PARK LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE DISPOSAL <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN,MN 55123- MAIL-IN FEE 2.00 <br /> () TOTAL 22.00 <br /> OWNER <br /> GERLICHER,MR.&MRS. <br /> 1375 REST POINTT RD <br /> MOUND,MN 55364- <br /> AGREEMENT AND SWORI�i STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 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 consttuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring ali required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau . <br /> _._l ` �� �� ��-- � 5 <br /> �� ��� <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />