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CITY OF ORONO 111111111-1111. 11111111 <br /> * 2 0 1 5 - 0 0 6 8 S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/01/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 993 WILDHURST TR <br /> PIN : 07-117-23-12-0003 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL,(1) <br /> DISHWASHER,(1)MISCELLANEOUS <br /> VALUATION OF PLUMBING 5850 <br /> APPLICANT PLUMBING FIXTURE FEE 73.13 <br /> STATE SURCHARGE PLBG(VALUATION) 2.93 <br /> STEWART PLUMBING, INC. MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 78.06 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 78.06 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> PFAFF,BRAD <br /> 993 WILDHURST TR <br /> MOUND,MN 55364- <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. 61—S6 <br /> Applicant Permitee Signatur Date Is 40 By Signature Date <br />