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� � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 7 - 0 1 1 4 1 * <br /> DATE 1SSUED: 09/15/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2090 SHORELINE DR <br /> PIN : 15-117-23-23-OOOI <br /> LEGAL DESC : LTNPLATTED 15 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NO'I'E: (4)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK(1)DISHWASHER,(1)SILLCOCKS,(1; <br /> LAUNDRY TRAY,(1)WATER HEATER,(1)WATER SOFTENER,(])WET BAR <br /> VALUATION OF PLUMBING ]0000 <br /> APPLICANT PLUMBING FIXTURE FEE 125.00 <br /> STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> DEN MARK PLUMBING TOTAL 130.00 <br /> 8445 QUAIL HILL RD Payment(s) <br /> MAPLE GROVE,MN 55311- CHECK 10929 130.00 <br /> Minnesota State License#:plbg-PM059250 <br /> OWNER <br /> HEAD,MARTHA <br /> 1616 W. 22ND STREET <br /> MINNEAPOLIS, MN 55405- <br /> AGREEMENT 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. AIl 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 afrer work has commenced. <br /> The licant is responsible for assuring all required inspections are <br /> re es d in conformance with the State Building Code.This permit may be <br /> r oke at any time for due se. �� <br /> � �j _� s <br /> ��.�'�.����i/ -�� � � {� �� � ( ����U �� �' <br /> i i <br /> licant Permitee Signature Date Issued B Signature i � Date <br /> / '_� <br />