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� CITY OF ORONO * Z 0 1 6 - PJ 0 5 9 1 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OS/25/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 475 DEBORAH DR <br /> P[N : 31-118-23-23-0004 <br /> LEGAL DESC : MCCULLEY EARM <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 3 WATER CLOSETS.2 LAVATORY, 1 BATHTUB <br /> VALUATION OF PLUMBING 2300 <br /> APPL[CANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.15 <br /> MY PLUMBER INC TOTAL 51.15 <br /> 18948 RADFORD ST Payment(s) <br /> MINNETONKA, MN 55345- CREDIT CARD 8471 51.15 <br /> (952)465-2031 <br /> Minnesota State License#: plbg-9056985 <br /> OWNER <br /> KATHERINE M. SWEETMAN,JAMES G WAIGHT& <br /> 475 DEBORAH DR <br /> MAPLE PLAIN, MN 55359- <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 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 /> �,�, �,�-,� ` ��//j� �� 1 ��� � �� �' `:� ,�� � �,�- <br /> 11 � ��r <br /> Applicant Permitee Signature Date Issued By Signature Date <br />