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CITY OF ORONO * 2 QJ 1 4 - PJ 0 5 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2629 CASCADE LA <br /> PIN : 33-118-23-11-0114 <br /> LEGAL DESC : STONEBAY FIFTH ADDITION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) <br /> SILLCOCK <br /> (1)FLOOR DRAIN(1)WA"CER HEATER <br /> VALUATION OF PLUMBING 10200 <br /> APPLICANT PLUMBING FIXTURE FEE 127.50 <br /> STATE SURCHARGE PLBG(VALUATION) 5.10 <br /> PRECISION PLUMBING& HEATHING INC. TOTAL 132.60 <br /> 4124 MACKENZIE CT <br /> ST. MICHEAL, MN 55376 Payment(s) <br /> (763)497-7486 CREDIT CARD 8l 56 132.60 <br /> Minnesota State License#: plbg-PC643806,mech-MB004099 <br /> OWNER <br /> BUILDERS LLC, STONEBAY <br /> 14870 BROCKTON LANE . <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Ihis 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 Yor 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 no[ <br /> commenced within 180 days of the date of issuance,or i1'construction is <br /> suspended for a period of 180 days at any[ime 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 /> tevoked at any time for due cause. <br /> !—�„'�r � .....---"--� <br /> ���� � L� ��� <br /> Applicant Permitee Signature Date Issu By Signature Date <br />