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CITY OF ORONO <br /> 1 1 1E 11 Thrill! <br /> 2750 KELLEY PARKWAY 1I1I II <br /> DATE ISSUED: 08/31/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2509 KELLY AVE <br /> PIN : 20-117-23-12-0037 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1428 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(10 SHOWER,(1)WET BAR <br /> VALUATION OF PLUMBING 4500 <br /> APPLICANT PLUMBING FIXTURE FEE 56.25 <br /> FOXX RIVER PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.25 <br /> 20327 HAMBURG AVE TOTAL 58.50 <br /> LAKEVILLE,MN 56150- <br /> Payment(s) <br /> (612)701-8072 CREDIT CARD 7859 58.50 <br /> Minnesota State License#:plbg-PC649840 <br /> OWNER <br /> NADLER,CHARLES&CANDICE <br /> 2509 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. 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 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. ‘"-°"6-1.71—'SZ.) <br /> ''"�-L / - <br /> Applicant Permitee Signature Date Issued By ature Date <br />