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,A , <br /> CITY OF ORONO * z 0 1 3 - 0 0 1 1 6 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0065 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT I BLOCK 1 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> Ncrr�:: wn�i�:►i i iH,n r�,►z <br /> VALUATION OF PLUMBING 9427 <br /> �. I�,�� S° <br /> �� <br /> �� <br /> S v� <br /> � <br /> �� <br /> APPLICANT PLUMBING FIXTURE FEE 1 17.84 <br /> HAFERMAN WATGR COND INC STATE SURCHARGE PLBG (VALUATION) 4.71 <br /> 12142 12TH AVE S <br /> BURNSVILLE, MN 55337 MAIL-IN FEE 2.00 <br /> (952)894-4040 TOTAL 124.55 <br /> OWNER <br /> KISSNER, MATT&NEENA <br /> 505 S l OTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> �I'he�cork for ti�hich this pcnnit is issued shall be performed according tu <br /> the approvcd plans and specifications,applicable City approvals,and thc <br /> State Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires saparate <br /> permits. All provisions of laws and ordinanccs governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> eapire 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 /> suspcnded for a period of 180 days at any time after���ork has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requestcd in confonnancc with the State Buildinb Code."Chis permit may bc <br /> revoked at any time for due cau e. <br /> C�2�_Lt.t�c�CC� d l /�l � �i �`j l <br /> Applicant Permitee Signature Date Issue [3y Signature Datc <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />