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+ , CITY OF ORONO * z 0 1 5 - 0 0 1 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2696 ETHEL AVE <br /> p[(� : 20-117-23-24-0044 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0115 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)KITCHEN SINK <br /> (1)D[SPOSAL <br /> (1)D[SHWASHER <br /> (1)WET BAR <br /> (1)EX"I'ERNAL WATER LINE <br /> VALUATION OF PLUMBING 2130 <br /> APPL[CANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.07 <br /> B & D PLUMBING&HEATING INC. MAIL-IN FEE 2.00 <br /> 4145 MACKENZIE CT NE <br /> TOTAL 53.07 <br /> ST MICHAEL, MN 55376- <br /> (763)497-2290 Payment(s) <br /> CREDIT CARD 8094 53.07 <br /> OWNER <br /> KAUFFMANN, JANET <br /> 2696 ETHEL AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 goveming 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[he date of issuance,or if cons[ruction is <br /> suspended for a period of l80 days at any time after 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 du�cause. <br /> � � / �C/ /�� <br /> Applicant Permitee Signature Date [ss By Signature Date <br /> ���,r l�Itl��i,i� I <br />