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CITY OF ORONO I*I 111111111111111 III 1111 � [Ili II017 - 0006 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 370 NORTH ARM LA <br /> PIN : 06-117-23-24-0008 <br /> LEGAL DESC : NORTH ARM ESTATES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)DISHWASHER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> MN PLUMBING&APPLIANCE INC. MAIL-IN FEE 2.00 <br /> 14105 RUTGERS STREET NE <br /> PRIOR LAKE,MN 55372- TOTAL 52.25 <br /> (952)469-8341 Payment(s) <br /> Minnesota State License#: cont-5845.5-PM CHECK 8347 52.25 <br /> OWNER <br /> SMITH,HARRIET <br /> 370 NORTH ARM LA <br /> MOUND,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 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. <br /> � dG � ,o , l `� <br /> Applicant 'ermitee Signature Date Issued Signature Date <br />