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� CITY OF ORONO <br /> * 2 0 1 4 - 0 0 3 7 4 * <br /> 2750 KFLLEY PARKWAY DATE ISSUED: 04/30/2014 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2385 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0069 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 0.25 <br /> WATER DOCTORS MAIL-IN FEE 2.00 <br /> 8201 CENTRAL AVENUE <br /> SPRING LAKE PARK, MN 55432- TOTAL 52.25 <br /> (763)535-1800 Payment(s) <br /> Minnesota State License#: mech-WC645002 CHECK 11449 22.00 <br /> CREDIT CARD 9569 30.25 <br /> OWNER <br /> ALPINE CAPITAL <br /> 9401 73RD AVE. N #400 <br /> BROOKLYN PARK, MN 55428- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performed according to <br /> the approved plans and specifications,applicablc 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 the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By � nature Date <br />