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_ ' , <br /> CITY OF ORONO * z 0 1 6 - PJ 0 5 S 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/20/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 849 BROWN RD N <br /> PIN : 27-118-23-34-0012 <br /> LEGAL DESC : LTNPLATTED 27 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE FIC"I'URES: (1)WATER CLOSET,(2)LAVATORIES,(1)BA"I'H"CUB,(1)SHOWER,(1)KITCHEN SINK,(l)DISPOSAL <br /> VALUAT[ON OF PLUMBING 8000 <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> STATE SURCHARGE PLBG(VALUATION) 4.00 <br /> PETERS PLUMBING <br /> 20455 MANOR ROAD TOTAL 104.00 <br /> EXCELSIOR, MN 55331- Payment(s) <br /> (612)803-5066 CRED[T CARD 4025 104.00 <br /> Minnesota State License#: plbg-PM093027 <br /> OWIYER <br /> SCHWARZMANN, MARK E <br /> 849 BROWN ROAD N <br /> LONG LAKE, MN 55356- <br /> AGREEME1vT 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring aIl 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 /> ���� -S'�'�� / �� � la�l � <br /> Appl' t Pe itee Signature Date Issued B Si ature Date <br />