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4. <br /> �� . . CITY OF ORONO * 2 0 1 5 - PJ 1 1 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/11/2015 <br /> ' ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3423 SHORELINE DR <br /> PIN : 20-117-23-12-0034 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES <br /> (2)WATER CLOSETS <br /> (2)LAVATORIES <br /> (1)LAUNDRY TRAY <br /> (1)WATER HEATER <br /> VALUATION OF PLUMBING 4500 <br /> APPLICANT PLUMBING FIXTURE FEE 56.25 <br /> STATE SURCHARGE PLBG(VALUATION) 2.25 <br /> CAPTAIN PLUMBING TOTAL 58.50 <br /> 7307 COUNTRY ROAD 5 Payment(s) <br /> PRINCETON,MN 55371- CHECK 8168 58.50 <br /> (763)355-8462 <br /> Minnesota State License#: PLUM-PM060718 <br /> OWNER <br /> Brook Investment Group LLC <br /> 34321 MYRTLE LA <br /> UNION CITY,CA 94587- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. 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 State Building Code.This permit may be - <br /> revoked at any time for due ause. <br /> �^ <br /> ( 9���/S. (J �l li /li /S <br /> Applicant Perrr►itee Signature Date Issued By Si n ure Date <br />