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CITY OF ORONO * z 0 1 6 - 0 1 e� <br /> �.. 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 <br /> f ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (8)WATER CLOSETS,(8)LAVATORIES,(4)KITCHEN SINKS,(4)FLOOR DRAINS,(4)LAUNDRY TRAYS,(4)WATER HEATERS <br /> VALUATION OF PLUMBING 30000 <br /> APPLICANT PLUMBING FIXTURE FEE 375.00 <br /> STATE SURCHARGE PLBG(VALUATION) 15.00 <br /> STEVE HAUCK PLUMBING LLC TOTAL 390.00 <br /> 16413 JASPER STREET NW Payment(s) <br /> RAMSEY, MN 55303- CREDIT CARD 0347 390.00 <br /> (612)619-5749 <br /> Minnesota State License#: pibg-PM059349 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS, MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians 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 rclated N�ork which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shail 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO 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 1�� <br /> revokqd at any time for due cause. �� <br /> �; ) <br /> t <br /> n \ _�-� ..'\\ <br /> � �• ��� �� � ������..St�l � �� � `'J ���/ J / � �— <br /> Appli� nt Permite gnature Dat Issued By Signature Date <br />