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CITY OF ORONO * Z 0 1 3 - 0 1 0 9 2 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1529 MINNIE AVE <br /> PIN : 08-117-23-33-0064 <br /> LEGAL DESC : HICKORY HILL <br /> ; LOT 004 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK, <br /> (1)DISPOSAL,(1)DISHWASHER,(2)SILLCOCKS,(1)FLOOR DRAINS,(1)WASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 12000 <br /> APPLICANT PLUMBING FIXTURE FEE 150.00 <br /> NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> 22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00 <br /> MN 55070. <br /> (763)753-3373 TOTAL 158.00 <br /> PAID WITH CC# 7809 <br /> OWNER <br /> Landscource LLC <br /> 50 25TH AVE N <br /> ST. CLOUD,MN 56303- <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 onty the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 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 assuring all required inspections aze <br /> requested in conformance with the State Bui(ding Code.This permit may be <br /> revoked at any time for d�e cause. <br /> %Ll�.�'� � � / / <br /> Applicant Permitee Signature Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. <br />