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, CITY OF ORO O �0 1 4 - 0 0 3 8 9 * <br /> 2750 KELLEY PAR WAY �AT�IssUEn: OS/OU2014 <br /> ORONO, MN 553 6- <br /> (952) 249-4600 FAX: (95 ) 249-4616 <br /> ADDRESS : 75 BAYSIDE TR <br /> P[N : 06-117-23-22-0030 <br /> LEGAL DESC : BAYSIDE MEADOWS <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENP,R <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBIN FIXTURE FEE 50.00 <br /> WATER DOCTORS STATE SU CHARGE PLBG (VALUATION) 0.25 <br /> 8201 CENTRAL AVENUE MAIL-IN E 2.00 <br /> SPRING LAKE PARK, MN 55432- TOTAL 52.25 <br /> (763) 535-1800 Payment(s <br /> Minnesota State License#: mech-WC645002 CREDIT C RD �1477 52.25 <br /> OWNER <br /> WACHMAN JR., ERVIN <br /> 2135 SALEM CT �� <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 specitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> no[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 autl�orized 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[ime afrer work has commenced. <br /> "1'he applicant is responsible for assuring all required inspections are <br /> requcsted in confonnance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> `�i��✓�"—"'_ <br /> / / <br /> Applicant Permitee Signature Datc Issued By Si ature Date <br />