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CITY OF ORONO * 2 0 1 7 - 0 0 5 7 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/30/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1220 LYMAN AVE <br /> PIN : 35-118-23-34-0016 <br /> LEGAL DESC : LYMAN WOODS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL AND(1)DISHWASHER <br /> VALUATION OF PLUMBING 3200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.60 <br /> HILLCOR PLUMBING TOTAL 51.60 <br /> 53 TERRACE RD NE <br /> ST MICHAEL,MN 55376- Payment(s) <br /> (763)68&0342 CREDIT CARD 6473 51.60 <br /> Minnesota State License#: BUIL-PC645327 <br /> OWNER <br /> BENSON,SEAN&ALISA <br /> 1220 LYMAN AVE <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,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. 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 after work has commenced. <br /> The applicant is responsible for ng all required inspections are <br /> requested in conformance � e State Building Code.This permit may be <br /> revoked at any time cause. � <br /> �� � � ,�, �� <br /> Applicant Permitee Signature Date Issued ignature Date <br />