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. t,,, <br /> CITY OF ORONO * 2 0 1 6 - 0 PJ 0 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2166 SHADYWOOD RD <br /> PIN : 17-117-23-42-0011 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)LALTNDRY TRAY <br /> VALUATION OF PLUMBING 11000 <br /> APPLICANT PLUMBING FIXTURE FEE 137.50 <br /> RIVERSIDE MECHANICAL STATE SURCHARGE PLBG(VALUATION) 5.50 <br /> 12460 ZINRAN AVENUE TOTAL 143.00 <br /> SAVAGE,MN 55378- Payment(s) <br /> Minnesota State License#:plbg-PC644809,mech-MB650157 CHECK 5323 143.00 <br /> OWNER <br /> UDELL, SCOTT&DEAH <br /> 2166 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This per►nit 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 Iaws 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 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' form e State Building Code.This permit may be <br /> revoke t any ime fo due caus „ <br /> v;� (/� � �� <�l <br /> plic ermitee ignature Date Issued ignature Date <br />