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CITY OF ORONO * z 0 1 6 - 0 1 4 � 1 * <br /> � '"`' 2750 KELLEY PARKWAY DATE ISSUED: 1U23/2016 <br /> 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 : FIXTURE <br /> NOTE: ADDING A KITCHEN SINK <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 038 <br /> STEVE HAUCK PLUMBING LLC TOTAL 50.38 <br /> 16413 JASPER STREET N W <br /> RAMSEY, MN 55303- Payment(s) <br /> (612)619-5749 CREDIT CARD 0347 5038 <br /> Minnesota State License#: plbg-PM059349 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS, MN 55343- <br /> AGREEME1vT 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 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 afrer 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 /> revoke at any time for due cause. ��� <br /> l ;� <br /> � �. <br /> J`��'�-- �ti,,� �� l� �3 � � � � �� .,�..��u 1 � �z "�� l w <br /> Applicant Permitee Signature Date Issued By Signatu � Date <br />