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CITY OF ORONO * 2 0 1 z - 0 0 7 1 6 * <br /> � w 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 FOX ST <br /> PIN : 02-]17-23-31-0009 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 013 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTF.: PLUMBING FIX'I�URES: (2)WATER CLOSETS,(2)LAVA"I'ORIES,(2)BA"1'}1"]'UE3S,(2)SILLCOCKS <br /> (1 EACH) KITCHEN SINK, DISPOSAL, DISHWASHER,FLOOR DRAIN, LAUNDRY TRAY,WASHER AND WATER HEATER <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING F[XTURE FEE 62.50 <br /> LAKELAND PLUMBING STATE SURCHARGE PLBG (VALUAT[ON) 2.50 <br /> 27185 BAYSHOIRE CIRCLE NW TOTAL 65.00 <br /> ISANTI, MN 55040- <br /> (763)753-0092 <br /> Minnesota State License#: PC644669 <br /> OWNER <br /> ABD Consulting Services, LLC <br /> P.O. BOX 1 F MTKA <br /> MINNETONKA, MN 55345- <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 Ihe <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 la�vs 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 I 80 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 tim for d cause. <br /> � ��Z�' � �/ / � <br /> Applic erm , ' nature Date [s By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />