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CITY OF ORONO * Z 0 1 6 - 0 1 PJ 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4760 BAYSIDE RD <br /> PIN : 31-118-23-33-0012 <br /> LEGAL DESC : BAYSIDE HILLS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE:WET BAR <br /> VALUAT[ON OF PLUMBING 500 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> PRECIS[ON PLUMBING&HEATING INC. TOTAL 50.25 <br /> 4124 MACKENZIE CT Payment(s) <br /> ST. MICHEAL, MN 55376 CREDIT CARD 7760 50.25 <br /> (763)497-7486 <br /> Minnesota State License#:plbg-PC643806,mech-MB004099 <br /> OWNER <br /> BAUMGARTNER, DAV[D&JESSICA <br /> 4760 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <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 l80 days of the date of issuance,or if construction is <br /> suspcnded for a period of l80 days at any time afrer 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 /> i�.j � <br /> � 1. <br /> ° � (, . ^ C���� ) f� `—�• �y ( � <br /> l l:,'�, �' � i��i – � C � � � �l�� <br /> Applicant ermitee Signature Date Issued By Signature Date <br />