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CITY OF ORONO 111111111 II 1111 III111111111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/20/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 70 WEAR LA <br /> PIN : 04-117-23-21-0019 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: I WC, I LAV, 1 SHOWER <br /> VALUATION OF PLUMBING 2650 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.33 <br /> CITYWIDE PLUMBING,LLC MAIL-IN FEE 2.00 <br /> 2059 123RD AVENUE NW <br /> COON RAPIDS, MN 55448- TOTAL 53.33 <br /> O Payment(s) <br /> Minnesota State License#:plbg-PC642798,mech-MB003873 CREDIT CARD 3699 53.33 <br /> OWNER <br /> PFEIFFER,JASON&JONI <br /> 70 WEAR LN <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 Permitee Signature Date Issued By gnature !v,bDate <br />