Laserfiche WebLink
' ' CITY OF ORONO * Z 0 1 5 - PJ 1 4 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2450 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0004 <br /> LEGAL DESC : COUNTRYSIDE MANOR <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: REPLACE(1)SHOWER,(1)BATHTUB,(2)LAVATORIES,(2)WATER CLOSETS <br /> VALUATION OF PLUMBING 6280 <br /> APPLICANT PLUMBING FIXTURE FEE 78.50 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 3.14 <br /> SPRING PLUMBING LLC MAIL-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- TOTAL 83.64 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#: plbg-066807 PM CHECK 3460 83.64 <br /> OWNER <br /> WINKLER, SHAUN& STACIA <br /> 2450 COUNTRYSIDE DR <br /> LONG LAKE, MN 55356- <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 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 180 days at any time 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 /> revoked at any time for due cause. <br /> , '''l� � ! l l (�l� <br /> Applican Permitee Signature - Date [ssued y Signature Date <br />