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CITY OF ORONO II 11111111 II II 1111111111 <br /> 2750 KELLEY PARKWAY * DAT <br /> T 1 4 - 0 0 1 4 9 <br /> ATE ISSUED: 02/19/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 860 WINDJAMMER LA <br /> PIN : 07-117-23-11-0011 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: INSTALL DISPOSAL <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 5.00 <br /> APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE, MN 55379 MISC FEE 0.00 <br /> (952)445-4803 TOTAL 22.00 <br /> Minnesota State License#: BUIL-057209PM Payment(s) <br /> CHECK 20576 22.00 <br /> OWNER <br /> ETAL, DANIEL KELLY <br /> 860 WINDJAMMER LA <br /> MOUND, MN 55364 <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 goveming 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 Date <br />