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� <br /> CITY OF ORONO * Z 0 1 5 - 0 1 0 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4565 BAYSIDE RD <br /> PIN : 06-117-23-21-0010 <br /> LEGAL DESC : BAYSIDE BERRY FARM <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (6)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER, <br /> (2)SILLCOCKS,(4)FLOOR DRAINS,(2)WASHERS,(1)WATER HEATER AND(1)WET BAR <br /> VALUATION OF PLUMBING 19500 <br /> APPLICANT PLUMBING FIXTURE FEE 243.75 <br /> STATE SURCHARGE PLBG(VALUATION) 9.75 <br /> SERVIN PLUMBING&HEATING TOTAL 253.50 <br /> 24752 705TH AVE Payment(s) <br /> DASSEL,MN 55325 CREDIT CARD 4098 253.50 <br /> (320)275-0190 <br /> OWNER <br /> DOUBECK,TIM& MARY <br /> 4565 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <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 sepazate <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 /> requeste in conformance with the State Building Code.This permit may be <br /> revoke at y time for due cause. <br /> f � V � � ~ - � � <br /> � �/ ��G /..� t �� G�/S <br /> icant ermitee Signature Dat Iss d B ignature Date <br />