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CITY OF ORONO * z 0 1 6 — 0 0 7� <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 115 SMITH AVE <br /> PIN : 02-117-23-21-0016 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 063 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)SI�OWER <br /> VALUATION OF PLUMBING 3400 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.70 <br /> RICK'S PLUMBING SERVICES LLC <br /> 14015 SPRING LAKE ROAD TOTAL 51.70 <br /> MINNEAPOLIS,MN 55402- Payment(s) <br /> (952)933-3132 CREDIT CARD 2724 51.70 <br /> Minnesota State License#: PLUM-PC648723 <br /> OWNER <br /> MILLER,THOMAS <br /> 115 SMITH AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT A1vD 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 [he <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 rype 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 afrer 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 y time for due cause. -- <br /> , _.__.... <br /> ��Z�� �,t.` 1 l� Zd � - r �,� � --�,.e� �� �; � 2_�-� /.�a <br /> /ppli nt Permitee Sign ure ate Issued By!Si ature Date <br />