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CITY OF ORONO * 2 0 1 6 — 0 1 z 7 s * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 10/10/2016 <br /> ' ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1050 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-13-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW FIXTURES:4 WATER CLOSETS,5 LAVATORY, 1 BATHTUB,3 SHOWERS,2 KI"I�CHEN SINKS, I DISPOSAL, I <br /> DISI[WASHER,4 SILLCOCKS,2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, I WATER HEATER <br /> VALUATION OF PLUMBING 47170 <br /> APPLICANT PLUMBING FIXTURE FEE 589.63 <br /> STATE SURCHARGE PLBG(VALUATION) 23.59 <br /> SELECT MECHANICAL SERVICES INC. TOTAL 613.22 <br /> 6219 CAMBRIDGE ST Payment(s) <br /> ST. LOUIS PARK,MN 55416- CREDIT CARD 4447 61322 <br /> (952)926-4488 <br /> Minnesota State License#: mech-MB003390 <br /> OWIVER <br /> STEINER, BARBARA <br /> 1050 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related��ork which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied widi whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with he State Building Code.This permit may be 9 <br /> J <br /> revoked at a� time for d e c e. � �� <br /> � �� /� �� �� ;, ' st_t� �'�—�-�.���; i' //C' � <br /> � �- � � � <br /> Applicant Permitee Signature ate Issued By Signature Date <br />