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, CITY OF ORONO PERMIT NO.: 2oos-oo�s6 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 08/20/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1199 ELMWOOD AVE <br /> PIN : 07-117-23-14-0059 <br /> LEGAL DESC : SKARP&LINDQU[STS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> KITCHEN SINK,DISPOSAL,DISHWASHER,LAUNDRY TRAY-ALL ON 1ST FLOOR <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 35.00 <br /> BERG PLUMBING& HEATING INC. <br /> 648 SECOND AVE STATE SURCHARGE PLBG(VALUATION) 1.25 <br /> MENDOTA HEIGHTS, MN 55118 MAIL-IN FEE 1.50 <br /> () TOTAL 37.75 <br /> Minnesota State License#: 60384-PM <br /> OWNER <br /> HARVEY, MR. &MRS. <br /> 1199 ELMWOOD AVE <br /> MOUND, MN 55364 <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the da[e of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with[he State Building Code.This permit may be <br /> revoked at any time for d�e cause. <br /> �y►�.&�c�E � l l l �l � <br /> Applicant Permitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />