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� � CITY OF ORONO * 2 0 1 5 - 0 0 0 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 195 BROWN RD S <br /> PIN : 03-117-23-21-0022 <br /> LEGAL DESC : KROGS ACRES <br /> : LOT 002 BLOCK 001 <br /> PERM[T TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE(2)WATER HEATERS <br /> VALUATION OF PLUMBING 3673 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.84 <br /> MARK'S PLUMBING, INC. MAIL-IN FEE 2.00 <br /> 3500 VICKSBURG LANE N <br /> PLYMOUTH,MN 55441- TOTAL 53.84 <br /> (763)354-2800 Payment(s) <br /> Minnesota State License#:plbg-PC646128 CREDIT CARD 0778 53.84 <br /> OWNER <br /> ELDER,JAMES&BARBARA <br /> 195 BROWN RD S <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORIv 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 /> Sta[e 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 applican[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 /> ��I,�L-�C��� / / J-o ��5 <br /> Applicant Permitee Signature Date ssue y Signature Date <br />