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, � CITY OF ORONO * z 0 1 6 - 0 0 s 1 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 SHADOWOOD DR <br /> p[N : 27-118-23-32-0015 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACING-3 WATER CLOSETS,3 LAVATORY,2 SHOWERS <br /> VALUATION OF PLUMBING 2850 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.43 <br /> B&B PLUMBING TOTAL 51.43 <br /> 25593 109TH ST Payment(s) <br /> ZIMMERMAN,MN 55398- CREDIT CARD 3261 51.43 <br /> (612)239-6149 6 <br /> Minnesota State License#:plbg-675878 <br /> OWNER <br /> GRONNEBERG,GARY&MARSHA <br /> 2280 SHADOWOOD DR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this permi[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 conformance with the Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ,, �,' _ I l��� <br /> L�'���4 - 7���1�� �I , � � �-��- .� ��� � �.�, <br /> � .�.� i /`_z f <br /> Applicant Permitee Si nature Date Issued By Signature Date <br />