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CITY OF ORONO * Z 0 1 6 - 0 0 4 3 6 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/26/2016 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 102 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0031 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 026 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORY, 1 BATHTUB, 1 SHOWER, 1,KITCHEN SINK, i D[SPOSAL, 1 DISHWASHER, 1 SILCOCK <br /> VALUATION OF PLUMBING 1500f <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> STATE SURCHARGE PLBG(VALUATION) 7.50 <br /> SWANSON PLUMBING INC. TOTAL 195.00 <br /> 16591-35 1 AVENUE Payment(s) <br /> HAMBURG, MN 55339 CHECK 3184 195.00 <br /> (612)508-9474 <br /> Minnesota State License#:plbg-643453 <br /> OWNER <br /> YOKIEL, SCOTT&JENNIFER <br /> 102 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with th State Building Code.This permit may be i��, <br /> revoked at an ' e or due c e. I���'� <br /> � � <br /> � �y_��___ ���-/l� j��, ;1 1�-�-.� -f��; �l � � �� ��: <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />