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]HEM <br /> 1111111 <br /> CITY OF ORONO * z 0 1 4 -ll0 lll > <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2014 <br /> ORONO, MN 55356- <br /> '►5d (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS -NORTHERN AVE <br /> PIN : 17-117-23-34-0002 <br /> LEGAL DESC REG,LAND SURVEY NO.0763 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1) <br /> DISPOSAL,(1)DISHWASHER, <br /> (2)SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)ICE MAKER <br /> VALUATION OF PLUMBING 15000 <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> NORTH ANOKA PLUMBING <br /> STATE SURCHARGE PLBG(VALUATION) 7.50 22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00 <br /> MN 55070- TOTAL 197.00 <br /> (763)753-3373 Payment(s) <br /> CHECK 18892 197.00 <br /> OWNER <br /> Real Assets 11,LLC <br /> 550 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 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 /> ApplicanT Permitee Signature 4"t':Z/Z_ <br /> ISSLVIBy Signature Date <br />