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CITY OF ORONO * Z 0 1 6 - PJ 0 1 6 3 * <br /> . ' 2750 KELLEY PARKWAY DATE ISSUED: 02/16/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2699 KELLY AVE <br /> PIIY : 21-117-23-23-0041 <br /> LEGAL DESC : WALTERS PORT <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB,2 SHOWERS, i KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WATER LINE T� <br /> FRIDGE <br /> (FEW FIXTURES BEING MOVED,FEW BEING REPLACED) <br /> VALUATION OF PLUMBING 7020 <br /> APPLICANT PLUMBING FIXTURE FEE 87.75 <br /> STATE SURCHARGE PLBG(VALUATION) 3.51 <br /> PALADIN PLUMBING LLC TOTAL 91.26 <br /> 13963 45TH PLACE NE Payment(s) <br /> ST MICHAEL,MN 55376- CHECK 3308 91.26 <br /> (763)432-5260 <br /> Minnesota State License#:plbg-PC644101,mech-MB005632 <br /> OWNER <br /> MORIN&TANYA SREPEL,CHARLES <br /> 2699 KELLY AVE <br /> EXCELSIOR,MN 55331- <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,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. AII 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due cause. _ /' <br /> W> <br /> a <br /> 1 � ��/� �� ���,� 1 I��� -i s �` �z� r c� l <br /> pplicant Permitee Signature Date [ssued By Signature Date <br />