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CITY OF ORONO I 111111011 <br /> 1 1 I1I 1 1 110 1II IIII <br /> * 1 18 133 I * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3051 FARVIEW LA <br /> PIN : 04-117-23-33-0009 <br /> LEGAL DESC : FARVIEW <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: LAVATORY <br /> VALUATION OF PLUMBING 375 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.19 <br /> DELANEY,DAVID&FRANCINE TOTAL 50.19 <br /> 3051 FARVIEW LA Payment(s) <br /> LONG LAKE,MN 55356- CHECK 5142 50.19 <br /> OWNER <br /> DELANEY,DAVID&FRANCINE <br /> 3051 FARVIEW LA <br /> LONG LAKE,MN 55356- <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 /> ,tz_ Pe.",4---. <br /> Applicant Permitee Signature ) Date / Issuey Signature Date <br />