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CITY OF ORONO 1111111111101111111111111111111111111111111111111 <br /> I <br /> * 2012 - 00602 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2012 <br /> • ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2697 ETHEL AVE <br /> PIN : 20-117-23-24-0045 <br /> LEGAL DESC : REG. LAND SURVEY NO.0115 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: I KITCHEN SINK, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> J W PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.25 <br /> 14930 DALLARA AVE W <br /> ROSEMOUNT,MN 55068- TOTAL 51.25 <br /> (651)322-2736 PAID WITH CC# 2454 <br /> OWNER <br /> COHEN,MARC&IRV <br /> 2697 ETHEL AVE <br /> WAYZATA,MN 55391- <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 �jy� <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time ad • use. i/� '✓ <br /> Y <br /> Ap j, t Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />