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� � CITY OF ORONO <br /> * 2fd 16 - 0PJ826 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2811 FARVIEW LA <br /> Pllv : 04-117-23-34-0003 <br /> LEGAL DESC : FARVIEW <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(1)D[SPOSAL,(2)DISHWASHERS <br /> VALUATION OF PLUMBING 18000 <br /> APPLICANT PLUMBING FIXTURE FEE 225.00 <br /> STATE SURCHARGE PLBG(VALUATION) 9.00 <br /> BENCHMARK PLUMBING TOTAL 234.00 <br /> 5952 ASHER AVE Payment(s) <br /> INVER GROVE HEIGHTS,MN 55077 CREDIT CARD 4082 234.00 <br /> (651)755-8078 <br /> OWNER <br /> DANIELSON, SCOTT <br /> 2811 FARVIEW LA <br /> LONG LAKE,MN 55356- <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[he date 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 are <br /> requested in conformance with the Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> -_� ._ L�--t`--..r�`=-- -/ -/ Q �Ql �� i l!�i l.� <br /> Applicant Permitee Signature Date Issued ignature Date <br />