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CITY OF ORONO * z 0 1 6 - 0 0 0 4 3 * <br /> , <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU13/2016 <br /> �, ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2010 SUGARWOOD DR <br /> PIN : 34-118-23-21-0007 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE FIXTURES: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 BIDET <br /> VALUATION OF PLUMBING 7900 <br /> APPLICANT PLUMBING FIXTURE FEE 98.75 <br /> GITTLEMAN CONSTRUCTION STATE SURCHARGE PLBG(VALUATION) 3.95 <br /> 1801 AME[ZICAN BLVD#21 TOTAL 102J0 <br /> BLOOMINGTON,MN 55431- Payment(s) <br /> (952)567-2017 CREDIT CARD 1426 102.70 <br /> Minnesota State License#: BUIL-BC635989 <br /> OWNER <br /> MESHBESHER,RONALD&KIMBERLY <br /> 2010 SUGARWOOD DR <br /> LONG LAKE,MN 55356- <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. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 l80 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 a y ti e fo e cause. � ���,;� <br /> � �7 <br /> ^ � �. <br /> � � �� t��:�� :A �� �-"r_�-�_ � A� f � ' ���_ � _. <br /> pplic t Permitee S' ature ate Issued By Signature Date <br /> i <br />