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a _ CITY OF ORONO * 2 0 1 4 — PJ 0 4 8 4 * <br /> 2750 KELLEY PARKWAY p�.TE ISSUED: OS/20/2014 <br /> ORONO, MN 55356— <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPI,E <br /> NOTF: (])Wn"1�l?R CLOSLT,(1)LAVA"I�ORY AND(1)SI(OWER <br /> VALUATION OF PLUMBING 1900 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 0.95 <br /> WELTER& BAYLOCK INC. TOTAL 50.95 <br /> 307 PERSHING AVE. N <br /> NEW PRAGUE, MN 56071 Payment(s) <br /> Minnesota State License#: plbg-PM65425,mech-7900379583 CREDIT CARD 0640 50.95 <br /> OWNER <br /> O'CONNELL& LYNNE RASUMSSEN, BRIAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <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,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 iY'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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requestcd in conforman� with[he State Building Code.This permit may be <br /> revoke at any time f u ca se <br /> 5 %�/ oQ s ,�� � i� <br /> Applic�� itee. i�nature Date I:�ted By Signature Date <br />