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. CITY OF ORONO * 2 0 1 5 - 0 0 2 4 0 * <br /> �, 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2015 <br /> ORONO,MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2498 SANDSTONE LA <br /> PIN : 33-118-23-I1-0022 <br /> LEGAL DESC : STONEBAY <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 3 WATER CLOSET,4 LAVATORY, 1 BATHTUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASI�ER,2 SILCOCKS, 1 <br /> FLOOR DRAINS, <br /> I LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 12900 <br /> APPLICANT PLUMBING FIXTURE FEE 161.25 <br /> STATE SURCHARGE PLBG(VALUATION) 6.45 <br /> SCHULTIES PLUMBING MAIL-IN FEE 2.00 <br /> 1521 94TH LANE NE <br /> BLAINE,MN 55449 TOTAL 169.70 <br /> (651)786-4007 Payment(s) <br /> Minnesota State License#:plbg-058799PM,mech-MB005379 CHECK 33207 169.70 <br /> OWNER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 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 permit may be <br /> revoked at any time for due cause. /�� <br /> ` .� . 2, Z� � <br /> Applicant Permitee Signature Da e Issued By Sign ure Date <br />