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CITY OF ORONO * 2 0 1 5 - 0 PJ 7 3 2 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 <br /> ' ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2490 CARMAN ST <br /> PIN : 20-117-23-12-0065 <br /> LEGAL DESC : LEHMAN LAGOON <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSET,7 LAVATORY,3 BATHTUB,4 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL,2 DISHWASHER,4 SILCOCKS,4 <br /> FLOOR DRAINS, <br /> 1 LAUNDRY TRAY, 1 WASHER, 1 WATER EIEATER, 1 WATER SOFTNER, 1 WET BAR <br /> VALUAT[ON OF PLUMBING 40750 <br /> APPLICANT PLUMBING FIXTURE FEE 509.38 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 20.38 <br /> SPRING PLUMBING LLC MAIL-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- TOTAL 531J6 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#: plbg-066807 PM CHECK 09918 531.76 <br /> OWNER <br /> Lakeshore Holdings LLC <br /> 153 E LAKE ST <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 rype 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 l80 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 /> � ./� �/� � <br /> � � 1 D� ✓ (� l � l �S <br /> Applicant Permitee Signature T Date Issued By Signature ' Date <br />