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� ., CITY OF ORONO * Z 0 1 4 - 0 0 3 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/05/2014 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1245 SIXTH AVE N <br /> PIN : 26-118-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.291 <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (7)WATER CLOSETS,(4)LAVATORIES,(I)SHOWER,(3)KITCHEN SINK,(1)DISPOSAL,(2) <br /> DISHWASHERS <br /> VALUATION OF PLUMBING 16820 <br /> APPLICANT PLUMBING FIXTURE FEE 210.25 <br /> STATE SURCHARGE PLBG(VALUATION) 8.41 <br /> SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK,MN 55416- TOTAL 220.66 <br /> (952)926-4488 Payment(s) <br /> CREDIT CARD 3074 220.66 <br /> OWNER <br /> GRANT,PETER <br /> 1245 SIXTH AVE N <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> , S�� /'`J /� <br /> Applicant Permitee Signatu Date Issu By Signature Date <br />