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CITY OF ORONO * 2 1 3 -II IIIII1II12111II21111119111111*II <br /> t 2750 KELLEY PARKWAY DATE ISSUED: 11/19/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1850 FOX RIDGE RD <br /> PIN 03-117-23-13-0008 <br /> LEGAL DESC FOX RIDGE <br /> LOT 004 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: BSMT: 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 WATER HEATER <br /> I ST FLOOR: I KITCHEN SINK, 1 DISHWASHER, 1 WET BAR <br /> 2ND FLOOR:3 WC,4 LAV,3 TUB, 1 LAUNDRY TRAY <br /> VALUATION OF PLUMBING 8160 <br /> APPLICANT PLUMBING FIXTURE FEE 102.00 <br /> M& S PLUMBING STATE SURCHARGE PLBG(VALUATION) 4.08 <br /> 2505 223RD LN NW <br /> OAK GROVE, MN 55011- <br /> TOTAL 106.08 <br /> (763)258-7488 PAID WITH CC# 9569 <br /> Minnesota State License#: PC643819 <br /> OWNER <br /> STEPHENSON III ET AL, REVIS L <br /> 1850 FOX RIDGE RD <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 /> // / /' �/ 0- <br /> Applicant Permitee Signature Date Issued By Sknature -Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED E. <br />