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� CITY OF ORONO PERMIT NO.: 200&00131 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/14/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 425 OXFORD RD <br /> PIN : OS-117-23-41-0023 <br /> LEGAL DESC : STIELOWS 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK, <br /> (1)DISHWASHER,(2)FLOOR DRAINS AND(1)WET BAR. <br /> VALUATION OF PLUMBING 20500 <br /> APPLICANT PLUMBING FIXTURE FEE 256.25 <br /> MACK PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 10.25 <br /> 12233 94TH AVE.N TOTAL 266.50 <br /> MAPLE GROVE,MN 55369- <br /> ('763)4248455 <br /> Minnesota State License#: 004121PM <br /> OWNER <br /> SCHWARTZMAN,JON&JANE <br /> 425 OXFORD RD <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 approvais,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 aze <br /> requested in conformance with the State Building Code.This perrr►it may be <br /> revoked at any time for due cause. <br /> ��6�� 8' ��� �08' L��,� � .l � D � <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ED OVE. <br />