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CITY OF ORONO PERMIT NO.: 2011-01221 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- �ATE ISSUED: 10/10/2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 764 BRIDGEWATER DR <br /> PIN : 33-118-23-11-0110 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NOTE: 3 WATER CLOSE7'S,4 LAVATORIES,2 BATHTUBS, 1 SHOER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, <br /> I FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATGR, 1 WET BAR <br /> VALUATION OF PLUMBING 8700 <br /> APPLICANT PLUMBING FIXTURE FEE 108.75 <br /> K& S PLUMBING LLC <br /> 9572 KNOX AVE.N. STATE SURCHARGE PLBG(VALUATION) 4.35 <br /> BROOKLYN PARK, MN 55444 TOTAL 113.10 <br /> (763)425-8760 <br /> Minnesota State License#: 065380-PM <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 IOTH AVE N <br /> PLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for��hid�this pennit is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 goveming this type of work <br /> shall be compied with whe[her 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 applica�t�`?�sponsible for assuring aIl required inspections are <br /> requested xh con rmance with the State Building Code.This permit may be -�, <br /> � ' ���7 <br /> revoke at a ime,� e ause <br /> i �-� �>� v / �C� / /� �-��, � r � �'`l'1 C � �%'/ � %., ,�(, ,(/ <br /> Applica Permitee Signature Date [ssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />