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� CITY OF ORONO * 2 0 1 4 - 0 PJ 4 3 8 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1645 BOHNS POINT RD <br /> PIN : 17-117-23-11-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NO'1'E: E3SM"C: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN,2 WASHER, 1 WA'1'I;R HEA'I'ER, 1 WATGR SOFTNER,3 SILLCOCKS <br /> 1S"I'FLOOR: 5 WC, 5 LAV, I TUB, 1 SI��OWGR,2 KITCH�N SINNK, 1 D[SPOSAL, 1 DISHWAS(IF.R. <br /> 2ND FLOOR:4 WC,4 LAV, 1 "I�iJB,3 SI[OWF.R, <br /> VALUATION OF PLUMBING 81860 <br /> APPLICANT PLUMBING FIXTURE FEE 1,023.25 <br /> STATE SURCHARGE PLBG(VALUATION) 40.93 <br /> STEWART PLUMBING, INC. MA[L-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 1,066.18 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)428-1833 CHECK 12276 1,066.18 <br /> Minnesota State License#: plbg-PC000474,mech-MB003262 <br /> OWNER <br /> CHURCH,JOHN& KLERISSA <br /> 1645 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordine to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <br /> pennits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or iY construction is <br /> suspended for a period of 180 days at any time after wark has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> \_'�' �/� / / <br /> Applicant Ycrmitec Signature Date Issued By Si ature Date <br /> � <br />