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(, � <br /> CITY OF ORONO * 2 0 1 3 - 0 0 1 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/1U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2365 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0068 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG (<$500) 5.00 <br /> 3670 DODD ROAD- SUITE 100 <br /> EAGAN, MN 55123- MAIL-IN FEE 2.00 <br /> �� TOTAL 22.00 <br /> OWNER <br /> BARNIER, STEVEN P <br /> 2365 GLENDALE COVE LN <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'l�he work for�ihich diis permit is issued shall be pertormed 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 due cause. <br /> C����� 3/ /l l /� � l /l l /J� <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />