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� • CITY OF ORONO * 2 0 1 4 - 0 1 4 2 5 * <br /> 2750 KF,LLEY PARKWAY DATE ISSUED: 12/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1932 FAGERNESS POINT RD <br /> PIN ; 17-117-23-23-0015 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO"Tl:: WATGR I 1E�1"i'}?R <br /> VALUATION OF PLUMBING ]467 <br /> APPLICANT PLUMBING FIXTURG FEE 50.00 <br /> SODERL[N PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.73 <br /> 3612 CEDAR AVE S MAIL-IN FEE 2.00 <br /> MINNEAPOLIS, MN 55407- TOTAL 52.73 <br /> (612)721-4080 Payment(s) <br /> CREDIT CARD 1868 52.73 <br /> OWNER <br /> MARON, BARKY <br /> 1932 FAGERNESS PT R[� <br /> WAYZATA, MN 55391- <br /> AGREEMENT ANU SWORN STATEMENT <br /> l�hc work for which this pemtit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission for additional or related ti�ork which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied��ith whether or not specified herein.This permit will <br /> expire and becomc null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspcnded for a period of 180 days at any time aftcr work has commenced. <br /> The applicanl is responsible for assurin�all required inspec[ions are <br /> requested in conf<>nnance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> rl: <br /> / �/ , � <br /> ( ' l� /t`� ' ��"� "l��- G L__� %�/ /2//� <br /> Applicant Permitee Signalure �� Date Issu By Signature Date <br />