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liiiiiiiiiiiiiiiiiiiiillillillillillillilliillim <br /> CITY OF ORONO * 2013 - 0103q * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2585 OLD BEACH RD <br /> PIN : 21-117-23-22-0020 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(4)LAVATORIES <br /> VALUATION OF PLUMBING 700 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PETE'S PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.35 <br /> 12011 EIDELWEISS STREET <br /> COON RAPIDS,MN 55433- TOTAL 50.35 <br /> (763)234-8187 PAID WITH CC# 6230 <br /> OWNER <br /> BISHOP&KAI ALOYSIUS,LUZ <br /> 2585 OLD BEACH RD <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 responsible for assuring all required inspections are <br /> requested in conform to ilding Code.This permit may be <br /> revoked at an . e for du se <br /> —4?A± <br /> Applic i gnature Date I Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />