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V ` CITY OF ORONO _ <br /> * 2 0 1 5 0 0 7 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BAYSIDE TR <br /> pi� : 06-117-23-22-0027 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN,(1)LALINDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 19492 <br /> APPLICANT PLUMBING FIXTURE FEE 243.65 <br /> STATE SURCHARGE PLBG(VALUATION) 9.75 <br /> SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD TOTAL 255.40 <br /> PLYMOUTH, MN 55447- <br /> (763)473-2267 Payment(s) <br /> CREDIT CARD 9764 255.40 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY, MN 55427- <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 E3uilding Code. This permit is for onty 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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �w�Ce� 6 , 9 ,�s <br /> Applicant Permitee Sig ure Date Issue Signature Date <br />