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" � <br /> C�TY OF ORONO * 2 0 1 7 - 0 0 1 a z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2017 <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 : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES-(2)WATER CLOSETS,(2)LAVATOREIES,(1)KITCHEN SINK,(1)FLOOR DRAIN <br /> VALUATION OF PLUMBING 7000 <br /> APPLICANT PLUMBING FIXTURE FEE 87.50 <br /> STATE SURCHARGE PLBG(VALUATION) 3.50 <br /> STEVE HAUCK PLUMBING LLC <br /> 16413 JASPER STREET NW TOTAL 91.00 <br /> RAMSEY,MN 55303- Payment(s) <br /> (612)619-5749 CREDIT CARD 0347 91.00 <br /> Minnesota State License#:plbg-PM059349 '�, <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- 'I <br /> AGREEMENT AND SWORN STATEMENT I <br /> The work for which this permit is issued shall be performed according o <br /> the approved plans and specifications,applicable City approvals,and e <br /> State Building Code. This permit is for only the work described and d s <br /> not grant permission for additional or related work which requires sep te <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void ifconstruction suthorized is not <br /> commenced within 180 days of the date of issuance,or if construction i� <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 confomtance with the State Building Code.This pertnit m y be <br /> revoked at any time for due cause. <br /> 1-e �/ �/ � � <br /> Applicant Permitee Signature Date Issued By S ature Date <br />