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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 P1 1 8 — 0 0 1 4 6 <br /> DATE ISSUED: 02/12/2018 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 680 WILLOW DR S <br /> PIN : 03-117-23-33-0007 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSET,(6)LAVATORY,(2)BATHTUB,(1)SHOWER,(1)LAUNDRY TRAY <br /> VALUATION OF PLUMBING 7000 <br /> APPLICANT PLUMBING FIXTURE FEE 87.50 <br /> LEGACY SERVICES LLC STATE SURCHARGE PLBG(VALUATION) 3.50 <br /> 2066 HWY 27 TOTAL 91.00 <br /> ISLE,MN 56342- <br /> Payment(s) <br /> (763)337-2350 CHECK 1187 91.00 <br /> Minnesota State License#:plbg-PC63169689 <br /> OWNER <br /> LARSON&STEPHANIE MARCH,MICHAEL <br /> 680 WILLOW DRIVE <br /> WAYZATA,MN 55391- <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 respLS <br /> ' assuring all required inspections are <br /> requested' conformhe State Building Code.This permit maybe <br /> revoked 11 <br /> y time se. <br /> 3 4kP <br /> �z r <br /> Applican Permitee ate Issue y Signature Date <br />