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CITY OF ORONO *1111111111111111 <br /> 2 10 I II I I II 10 I III I I I 15 I I II* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/05/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4575 WOLVERTON PL <br /> PIN : 31-118-23-31-0007 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)KITCHEN SINK,(1)DISHWASHER AND(1)WET BAR <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> CITY VIEW PLUMBING&HEATING TOTAL 51.00 <br /> 1880-B WAYZATA BLVD W <br /> Payment(s) <br /> P.O.BOX 150 CHECK 37244 51.00 <br /> LONG LAKE,MN 55356 <br /> (952)473-8793 <br /> Minnesota State License#:plbg-MB005208 <br /> OWNER <br /> JOHNSON,REBECCA L <br /> 4575 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359- <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 caus . <br /> /5 ' i <br /> /0- //) <br /> A� licant Permitee Signature Dat Issued By�e DateP � <br />