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� CITY OF ORONO * 2 0 1 5 - 0 0 z 1 7 � <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2605 MAPLERIDGE LA <br /> PIN : 21-117-23-21-0005 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 SILLCOCKS <br /> VALUATION OF PLUMBING 12000 <br /> APPLICANT PLUMBING FIXTURE FEE 150.00 <br /> STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> GREBOW PLUMBING INC. TOTAL 156.00 <br /> 8420 REDWOOD ST Payment(s) <br /> COON RAPIDS,MN 55433- CHECK 15256 156.00 <br /> (763)786-3951 <br /> Minnesota State License#:plbg-004335 <br /> OWNER <br /> PAULSON,ERIC <br /> 2605 MAPLERIDGE LA <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 dces <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 pettnit 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 asswing 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 /> � �, .�� / F � C)Y'1/��t �� Z� <br /> .�'',� �-- �� ,� � � � <br /> ��Applicant Permite ignature Date Issued By Signatu Date <br />