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, CITY OF ORONO * Z 0 1 5 - 0 0 5 8 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> AUDRESS : 3630 EILEEN ST <br /> PIN : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> RELIABLE PLUMBING LLC MAIL-IN FEE 2.00 <br /> 17822 LINCOLN STREET NW <br /> ELK RIVER,MN 55330- TOTAL 53.50 <br /> (763)443-7411 Payment(s) <br /> Minnesota State License#:plbg-PC644738 CHECK 3072 53.50 <br /> OWNER <br /> MCCUTCHEON,MARK&JAYME <br /> 3630 EILEEN ST <br /> MAPLE PLAIN,MN 55359- <br /> AGREEME1vT 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 permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construc[ion 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �`;Y('�.�� �� 5 ��3 � ��' <br /> Applicant Permitee Signature Date Issue y Signature Date <br />