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•. CITY OF ORONO 1 ' 1 1 1 1 1 1 1 1 1 1 i <br /> 2750 KELLEY PARKWAY * 20 1 5 - 0 1 3 6 2 <br /> DATE ISSUED: 10/21/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2350 OLIVER HILL <br /> PIN : 34-118-23-33-0071 <br /> LEGAL DESC : OLIVER HILL <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS, <br /> (1)FLOOR DRAIN,(2)LAUNDRY TRAY,(1)WASHER,(1)WET BAR <br /> VALUATION OF PLUMBING 20000 <br /> APPLICANT PLUMBING FIXTURE FEE 250.00 <br /> STATE SURCHARGE PLBG(VALUATION) 10.00 <br /> AMERICAN MECHANICAL CO,INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 262.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 262.00 <br /> OWNER <br /> PRENEVOST,JEAN&REBECCA <br /> 2020 ARCHER LANE N <br /> PLYMOUTH,MN 55447- <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 /> • <br /> (CV1/1--61:titel ko J—c ee- riVA /0 /2l ,L5 <br /> Applicant Permitee Signature — Date Issued B3ignature Date <br />