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,. � CITY OF ORONO * 2 0 1 3 - 0 P1 6 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/1U2013 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 265 BROWN RD S <br /> PIN : 03-117-23-24-0009 <br /> LEGAL DESC : BYFIELD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (3) WATER CLOSETS,(3)LAVATORIES,(3)BATHTUBS,(1)KITCHEN SINK,(1)DISPOSAL.(1)DISHWASHER <br /> (2)SILLCOCKS,(1)LAUNDRY TRAY,AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 10900 <br /> APPLICANT PLUMBING FIXTURE FEE 136.25 <br /> PIPERIGHT PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 5.45 <br /> 10710 MISSISSIPPI BLVD.NW <br /> COON RAPIDS, MN 55433 TOTAL 141.70 <br /> (� PAID WITH CASH 141.70 <br /> Minnesota State License#: 004412PM <br /> OWNER <br /> LLC,RESTORE TO FORM <br /> 565 MONTCALM PLACE <br /> ST PAUL, MN 551 16- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> "I'he work for which[his permit is issued shall be perfonned 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 goveming this type of work <br /> shall be compied with whe[her 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 afrer 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 /> ��_ � c..'��, C / �` \ �l �(l <br /> ApplicantPermiteeSignature Date �ssu ��By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />