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.,. CITY OF ORONO * Z 0 1 6 — PJ 1 3 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 100 BAYSIDE TR <br /> PIN : 06-117-23-22-0026 <br /> LEGAL DESC : BAYV[EW FARMS 2ND ADDN <br /> : LOT 1 B LOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRA[N,(I)LAUNDRY TRAY,(l)WASHER,(1)WATER HEATER,(1)WET QAR <br /> VALUATION OF PLUMBING 18000 <br /> APPLICANT PLUMBING FIXTURE FEE 225.00 <br /> STATE SURCHARGE PLBG(VALUATION) 9.00 <br /> AMERICAN MECHANICAL CO, INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 236.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 236.00 <br /> OWNER <br /> NORD, RANDAL <br /> 4420 HARBOR LA <br /> PLYMOUTH,MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> die 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 N�hether or not spccified 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 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 Ihe State Building Code.This permit may be <br /> revoked at any time for due cause. _ <br /> , <br /> � �e� �� � �� �/ � <br /> Applicant Permite ignature Date [ssued E3 Signature Date <br /> � <br />