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CITY OF ORONO 1111111111111111 IN 1111111111111111111 im <br /> * 2 0 1 7 — 0 0 S 9 S <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 540 WILLOW DR S <br /> PIN 03-117-23-32-0018 <br /> LEGAL DESC N/A <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(2)DISHWASHERS, <br /> (3)SILLCOCKS,(1)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER <br /> VALUATION OF PLUMBING 24400 <br /> APPLICANT PLUMBING FIXTURE FEE 305.00 <br /> SERVIN PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 12.20 <br /> 24752 705TH AVE MAIL-IN FEE 2.00 <br /> DASSEL,MN 55325 TOTAL 319.20 <br /> (320)275-0190 Payment(s) <br /> CREDIT CARD 4098 319.20 <br /> OWNER <br /> BOHLANDER,LAURA <br /> 2260 FOX ST <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 /> C oc <br /> Applicant Permitee Signature Date Issued B Signature Date <br />