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CITY OF ORONO I I I III IIII II 111 LI1 II' ll I I I 11 <br /> I II <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 - 0 0 4 4 <br /> DATE ISS - <br /> 05/02/22 017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 ORONO LA <br /> PIN : 02-117-23-34-0012 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1350 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> RICHARD GRASSIE INC. TOTAL 50.25 <br /> 6121 EXCELSIOR BLVD <br /> Payment(s) <br /> SUITE 206 CHECK 14560 50.25 <br /> MINNEAPOLIS,MN 55416- <br /> OWNER <br /> Luke Beltnick Revocable Trust <br /> BELTNICK,LUKE&ELENA <br /> 3018 EMERSON AVE S <br /> MINNEAPOLIS,MN 55408- <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 responsi. for assuring all required inspections are <br /> requested in conforman.- with the State Building Code.This permit may be <br /> revoked at any time .r due cause. <br /> /6) / C9- / <br /> licant `ermitee Signature Date Issued B ature Date <br /> PP � Y � <br />