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' � �� CITY OF ORONO <br /> * 2PJ 15 - 0 1 165 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/1U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3210 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0009 <br /> LEGAL DESC : GRAHAM HILL PRESERVE-2 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)FLOOR DRAIN IN GARAGE <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> MANATEE PLUMBING TOTAL 16.00 <br /> 11525 199TH CIRCLE <br /> SILVER LAKE, MN 55381- Payment(s) <br /> (612)756-1172 CHECK 8888 16.00 <br /> Minnesota State License#: plbg-005923PM <br /> OWNER <br /> MESENBURG, MATT& MICHELLE <br /> 2525 KELLER ROAD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Quilding Code. This permi[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 au[horized is not <br /> commenced wi[hin 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ` <br /> � �e���..�� �-- ) � - 1 � � � � �� i � i S <br /> Ap 'cant Pe ' e Signature Date [ssue y Signature Date <br />