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, . CITY OF ORONO * 2 0 1 3 - PJ P1 0 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/OU2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 160 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0022 <br /> LEGAL DESC : HALLSON ESTATES 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO I E: WA'I'EK H[?ATI;R <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING F[XTURE FEE 50.00 <br /> LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUAT[ON) 0.75 <br /> 114 THOMAS CIRCLE#106 <br /> MONTICELLO, MN 55362- MAIL-IN FEE 2.00 <br /> (763)314-0877 MISC FEE 0.00 <br /> TOTAL 52.75 <br /> OWNER <br /> SCHMID, KURT& CAROL <br /> 160 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicablc City approvals,and thc <br /> S[ate Buildin�Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires scparate <br /> pemiits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced���ithin I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter�cork has commenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code."I�his permit may°bc <br /> revoked at any time for due cause. <br /> ( ^ � � � /-3 0�- l , �3 <br /> Applicant Permitee Signature Date �s � 3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />