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CITY OF ORONO soon 010M <br /> r 4 2750 KELLEY PARKWAY * 2017 - 01458 * <br /> ORONO,MN 55356- <br /> DATE ISSUED: 11/0812017 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3265 SHADYWOOD CIR <br /> PIN : 20-117-23-11-0048 <br /> LEGAL DESC : SHADYWOOD VILLAS <br /> LOT 7 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> NOTE: WATER CLOSET(3),LAVATORY(4),BATHTUB(2),SHOWER <br /> KITCHEN SINK,DISPOSAL,DISHWASHER,SILLCOCKS(2),FLOOR DRAINS(3),LAUNDRY TRAY,WASHER,WATER HEATER,WET <br /> BAR <br /> VALUATION OF PLUMBING 15000 <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 7.50 <br /> 1168 IFFERT AVE SE MAIL-IN FEE 0.00 <br /> BUFFALO,MN 55313- TOTAL 195.00 <br /> (612)282-5041 Payment(s) <br /> Minnesota State License#:plbg-PC644046 CHECK 195.00 <br /> OWNER <br /> Charles Cudd LLC <br /> 15050 23RD AVE N <br /> PLYMOUTH,MN 55441- <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 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 cause <br /> II , � , 17 <br /> Applicant Permitee SignatureDate Issued y Signature Date <br />