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CITY OF ORONO * 2 0 1 5 - 0 PJ 4 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3926 CHERRY AVE <br /> PIN : 08-117-23-33-0019 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,7 LAVATORY, 1 BATHTUB,4 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL,2 DISHWASHERS,3 SILCOCKS,4 <br /> FLOOR DRAINS, <br /> l LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR, 1 MISCELLANEOUS <br /> VALUATION OF PLUMBING 39815 <br /> APPLICANT PLUMBING FIXTURE FEE 497.69 <br /> STATE SURCHARGE PLBG(VALUATION) 19.91 <br /> SPRING PLUMBING LLC MAIL-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE, MN 55449- TOTAL 519.60 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#: plbg-066807 PM CHECK 09879 519.60 <br /> OWIYER <br /> WASHUTA,KENNETH <br /> 3926 CHERRY AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor 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 goveming 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 l80 days a[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 ca e. <br /> , ��,�'� <br /> ` � - <br /> �--�.-� ��YY'�.CEf1 � �t�3, /� <br /> Applicant Permitee Sig ature ate Issued By Signature Date <br /> I <br />