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, CITY OF ORONO * z � 1 6 - 0 0 0 1 0 * <br /> • <br /> 2750 KELLEY PARKWAY DATE [SSUED: O1/OS/2016 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1825 CONCORDIA ST <br /> PIN : 17-117-23-22-0015 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 008 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: ADDITIONAL FIXTURES:4 WA'CER CLOSETS,3 LAVATROY,2 SHOWER, I KITCHEN SINK, I DISPOSAL, I DISHWASHER. 1 <br /> SILCOCK <br /> VALUAT(ON OF PLUMBING 16770 <br /> APPLICANT PLUMB[NG FIXTURE FEE 209.63 <br /> STATE SURCHARGE PLBG(VALUATION) 8.39 <br /> SPRING PLUMBING LLC MAIL-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE, MN 55449- TOTAL 220.02 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#: plbg-PC643871 CHECK 10114 220.02 <br /> OWNER <br /> WING,JOHN <br /> 1825 CONCORDIA 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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for addi[ional 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 not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I SO days at any time after work has commenced. <br /> Che applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. t� 7�/, <br /> � � <br /> ���,��,�(, I ��► �� ►;' t�t,�.1` (�--�-�_�� � �_ , , � , r �, <br /> ._ <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />