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' CITY OF ORONO * 2 P1 1 7 - 0 1 2 2 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <br /> PERMTT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER CLOSET-8 <br /> LAVATORY-9 <br /> BATHTUB-1 <br /> SHOWER-6 <br /> KITCHEN SINK- 1 <br /> DISPOSAL- 1 <br /> DISHWASHER-2 <br /> VALUATION OF PLUMBING 46545 <br /> APPLICANT PLUMBING FIXTURE FEE 581.81 <br /> SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 23.27 <br /> 11473 KENYON COURT MAIL-IN FEE 2.00 <br /> BLAINE,MN 55449- TOTAL 607.08 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#:plbg-PC643871 CHECK 10702 607.08 <br /> OWNER <br /> WOHLWEND,DAVID <br /> 4526 BLUEBELL TRAIL S <br /> MEDINA,MN 55340- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approvedplans and specifications,applicable City approvals,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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be co�xpied with whether or not specified herein.This permit will <br /> expire and become null and void if consWction 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 ali required inspections are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . , _ g �� �l� <br /> Applicant Permitee Sign ture Date Issu By Signature Date <br />