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/ .,. <br /> ^ CITY OF ORONO * 2 0 1 5 - 0 1 1 1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/Ol/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2760 SHADYWOOD RD <br /> PIN : 21-117-23-24-0040 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE � <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER <br /> VALUATION OF PLUMBING 3300 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.65 <br /> HILLCOR PLUMBING TOTAL 51.65 <br /> 53 TERRACE RD NE Payment(s) <br /> ST MICHAEL,MN 55376- CREDIT CARD 1011 51.65 <br /> (763)688-0342 <br /> Minnesota State License#: BUIL-PC645327 <br /> OWNER <br /> ENGLER,JEFFREY&EVIE <br /> 2760 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AIVD 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 pertnission for additional or related work which requires separate <br /> permiu. 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 S 'lding Code.This permit may be <br /> revoked at any time for dug cause. <br /> � 2 � �' lo! l G � <br /> Applicant Permitee Signature Date Issu d y Signature Date <br />