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� � CITY OF ORONO * Z 0 1 6 - 0 0 6 9 3 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4220 CHIPPEWA LA <br /> PIN : 31-118-23-42-0012 <br /> LEGAL DESC : CHIPPEWA 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW FIXTURES:5 WATER CLOSETS,7 LAVATORY,2 BATHTUB,3 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER <br /> 2 SILLCOCKS, 1 FLOOR DRIANS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMB[NG 17000 <br /> APPLICANT PLUMBING FIXTURE FEE 212.50 <br /> STATE SURCHARGE PLBG(VALUATION) 8.50 <br /> DIVERSIFIED PLUMBING TOTAL 221.00 <br /> P O BOX 91 Payment(s) <br /> CHASKA, MN 55318- CHECK 5174 221.00 <br /> (763)221-5441 <br /> Minnesota State License#: PLUM-71354924 <br /> OWNER <br /> DBG,LLC <br /> SCHRODER, SUSAN <br /> 4725 WEST LANE <br /> MINNETRISTA, MN 55364- <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 /> perniits. 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 I80 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 ime for�ue cause. <br /> � ��� � � " <br /> � <br /> ' � /� /� ;� �� �� � /�� � ��1� s �� rF� � /(� / � <br /> Ap �cant Permitee Si n u Date Issued By Si nature Date <br />