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CITY OF ORONO 1 11 <br /> * 2 0 1 7 - 00003 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/05/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 200 WOODHILL RD <br /> PIN : 02-117-23-12-0001 <br /> LEGAL DESC : UNPLATTED 02 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSETS,(4)LAVATORIES,(4)SHOWERS,(12)FLOOR DRAINS <br /> VALUATION OF PLUMBING 12000 <br /> APPLICANT PLUMBING FIXTURE FEE 150.00 <br /> STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> PAVEK PLUMBING TOTAL 156.00 <br /> 4550 COUNTY RD 10 N <br /> Payment(s) <br /> WATERTOWN,MN 55388 CREDIT CARD 9574 156.00 <br /> Minnesota State License#:BUIL-60617-PM <br /> OWNER <br /> CLUB, WOODHILL COUNTRY <br /> 200 WOODHILL RD <br /> WAYZATA,MN 55391 <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 Permitee Signature Date Issued By Signature Date <br />