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CITY OF ORONO * z 0 i - e i 0 i s <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/24/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS : 1020 TONKAWA RD <br /> PIN : 08-117-23-13-0014 <br /> LEGAL DESC : REG.LAND SURVEY NO.0617 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (7)WATER CLOSETS,(8)LAVATORIES,(1)BATHTUB,(6)SHOWERS,(1)KITCHEN SINK,(2)DISPOSAL,(2)DISHWASHERS,(4) <br /> SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR,(3) <br /> MISCELLANEOUS <br /> VALUATION OF PLUMBING 47500 <br /> APPLICANT PLUMBING FIXTURE FEE 593.75 <br /> STEWART PLUMBING,INC. <br /> STATE SURCHARGE PLBG(VALUATION) 23.75 <br /> MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#I Payment(s) <br /> TOTAL 619.50 <br /> ROGERS,MN 55374 ts) <br /> (763)428-1833 CREDIT CARD 3122 619.50 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> BURKE,FORREST <br /> 380 LEAF ST <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 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 /> Applicant Pertnitee Signature Date Issued B Ognature Date <br />