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' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � � 1 4 - 0 B 8 0 6 * <br /> DATE ISSUED: 07/29/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WC,2 LAV, 1 TUB <br /> VALUATION OF PLUMBING 5400 <br /> APPLICANT PLUMBING FIXTURE FEE 67.50 <br /> STATE SURCHARGE PLBG (VALUATION) 2.70 <br /> PALADIN PLUMBING LLC TOTAL 70.20 <br /> 13963 45TH PLACE NE Payment(s) <br /> ST MICHAEL, MN 55376- <br /> (763)432-5260 CHECK 3163 7020 <br /> OWNER <br /> MCCABE, ROGER <br /> 1265 SHORELINE DR <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 Buildine Code. This permit is for only the work dcscribcd and does <br /> not grant permission for additional or relatcd 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 specitied herein."I�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> I he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> �-�:.�'�f�G���'��� �� ' — �—�`—� l l <br /> A plicant Permitee Signature Date Issued y Si ture Date <br /> / <br />