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� CITY OF ORONO * z 0 1 4�-�P1 0 2 2 B * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK O15 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)FLOOR DRAIN AND(1)WASHER <br /> VALUATION OF PLUMBING 8000 <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> STATE SURCHARGE PLBG(VALUATION) 4.00 <br /> BOB JASPER PLUMBING <br /> 5840 ENSIGN AVE N TOTAL 104.00 <br /> NEW HOPE, MN 55428- Payment(s) <br /> (763)234-7240 CHECK 7166 104.00 <br /> Minnesota State License#: plbg-059797 <br /> OWNER <br /> O'KEEFE,JUSTIN&NICOLE <br /> 1453 PARK DRIVE <br /> MOLJND, MN 55364- <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 /> comme within 1 SO days of the date of issuance,or if construction is <br /> su nded r a riod s at any time after work has commenced. <br /> he appli nt r�spo s e f uring all required inspections are <br /> requeste in n�rma ' the tate Building Code.This permit may be <br /> evok at a y me use. <br /> ,� _ <br /> � Q�� ���,�.-EC-- iu ✓ <br /> A icant Per itee Signat r Da Is ed By Signature Date <br />