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� CITY OF ORONO <br /> * 2 0 1 4 - PJ 1 3 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 440 STUBBS BAY RD N <br /> PIN : 32-118-23-13-0006 <br /> LEGAL DESC : STUBBS ADD[TION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: WATF,R SOFTI?NI;R <br /> VALUATION OF PLUMBING 2100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 1.05 <br /> BENJAMIN FRANKLIN PLUMBING <br /> 1424 3RD STREET N MAIL-IN FEE 2.00 <br /> MINNEAPOLIS, MN 55411- TOTAL 53.05 <br /> (763)755-6468 Payment(s) <br /> CHFCK 22501 53.05 <br /> OWNER <br /> OLMSCHEID, LEE & MELISSA <br /> 440 STUBBS BAY RD 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 specitications,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 rela[ed 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[ime alter work has commenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> �u. � ��� ��� ���,� <br /> Applicant Perrnitee Signat Date Issu By Signature Date <br />