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' " � CITY OF ORONO * z 0 1 3 - 0 1 0 2 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3884 CHERRY AVE <br /> PIN : 08-117-23-33-0084 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(5)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK, <br /> (1)DISPOSAL,(2)DISHWASHERS,(3)SILLCOCKS,(2)FLOOR DRAINS,(1)LAUNDRY TRAY,(2)WASHERS, <br /> (1)WATER HEATER AND(1)WET BAR. <br /> VALUATION OF PLUMBING 16535 <br /> APPLICANT PLUMBING FIXTURE FEE 206.69 <br /> INFINITY PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 8.27 <br /> 33311 35TH AVE <br /> DENNISON, MN 55018- MA1L-IN FEE 2.00 <br /> (507)263-8911 TOTAL 216.96 <br /> Minnesota State License#: 059132 PM PAID WITH CC# 3104 <br /> OWNER <br /> ENGLUND, DOUGLAS <br /> 3884 CHERRY AVE <br /> P.O. BOX 285 <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for addi[ional or rela[ed 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 specitied herein."l his permit will <br /> expire and become null and void if construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended fbr a period of 180 days at any time after work has commenced. <br /> 'The applicant is responsible for assuring all required inspections are <br /> requested in conformanec with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �'�l�� ��� � !3 9 � � �/_3 <br /> Applicant Permitee Signa ure Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />