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� ' CITY OF ORONO * 2 0 1 6 - 0 0 9 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/08✓2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 770 NORTH ARM DR <br /> PIN : 06-117-23-43-0009 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.362 <br /> : LOT 006 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE(1)KITCHEN SINK,(1)DISPOSAL AND(1)DISHWASHER <br /> VALUATION OF PLUMBING 802 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.41 <br /> AIR MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE,MN 55304 TOTAL 52.41 <br /> (763)4347747 Payment(s) <br /> Minnesota State License#:mech-MB005122 CHECK 048167 52.41 <br /> OWNER <br /> CARLSON,JEFFREY <br /> 770 NORTH ARM DR <br /> MOLJND,MN 55364- <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 Ciry 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 /> permiu. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hereia 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ( cC� �-e.�� � � � 1 (7 <br /> Applicant Permitee Signature Date Issue Signature Date <br />