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f a CITY OF ORONO <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 0 1 0 <br /> DATE ISSUED: 02/03/22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1555 ORONO OAKS DR <br /> PIN : 35-118-23-33-0007 <br /> LEGAL DESC : ORONO OAKS <br /> : LOT 011 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: DISHWASHER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MN PLUMBING&APPLIANC INC. STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> 14105 RUTGERS STREET NE MAIL-IN FEE 2.00 <br /> PRIOR LAKE,MN 55372- TOTAL 52.25 <br /> (952)469-8341 Payment(s) <br /> Minnesota State License#:cont-8455-PM CHECK 8410 52.25 <br /> i <br /> OWNER <br /> HAUSER,JACK&LISA <br /> 1555 ORONO OAKS DR <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 ordinpnces 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 consction authorized is not <br /> commenced within 180 days of the date f issuance,or if construction is <br /> suspended for a period of 180 days at an time after work has commenced. <br /> tit <br /> The applicant is responsible for assuring II 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 /> 634A-4tael en <br /> } 4t11.- a,/ "s/ )7 <br /> Applicant Permitee Signature Date Issued B i <br /> PP ature Date <br />