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�. <br /> 4 CITY OF ORONO * z � 1 7 - 0 1 6 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2024 SHADYWOOD RD <br /> PIN : 17-117-23-31-0011 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 004 BLOCK 000 <br /> PERMTT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSETS(1)LAVATORIES(1)SHOWER(1)WATER HEATER <br /> VALUATION OF PLUMBING 4550 ' <br /> APPLICANT PLUMBING FIXTURE FEE 56.88 <br /> STATE SURCHARGE PLBG(VALUATIOI� 2.28 <br /> TRADESMAN INC MAIL-IN FEE 0.00 <br /> PO BOX 26731 <br /> MINNEAPOLIS,MN 55426- TOTAL 59.16 <br /> (612)581-4472 Payment(s) <br /> CREDIT CARD 6587 59.16 <br /> OWNER <br /> KIEFFER,JOHN&BENJAMIN <br /> 2024 SHADYWOOD 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 dces <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revok d time for due ca <br /> � �y �,� �� <br /> i i <br /> pp ic t Permitee Signature te Issued By Signature Date <br />