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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z PJ 1 — 0 0 7 0 <br /> DATE ISS — <br /> 06/23/22 016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 155 TRUFFULA TR <br /> PIN : 33-118-2344-0040 <br /> LEGAL DESC : MEADOW WOOD POND <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)WET BAR <br /> VALUATION OF PLUMBING 2300 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.15 <br /> WESTIN PLUMBING&HEATING INC TOTAL 51.15 <br /> 15494 67TH STREET Payment(s) <br /> BECKER,MN 55308- CREDIT CARD 6236 51.15 <br /> (763)913-8613 <br /> Minnesota State License#: <br /> PLUM-PC645 827,mech-MB003 074 <br /> OWNER <br /> STAGGS,JEFF <br /> 155 TRUFFULA TR <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant e e Signature Date Issued Signature Date <br />