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�, � CITY OF ORONO � 0�p� i z 7 5 * <br /> a 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2015 <br /> ORONO, MN 55356— <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 835 HUNT FARM RD <br /> PIN : 30-118-23-43-0003 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 003 <br /> PERMTT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (6)WATER CLOSETS,(7)LAVATORIES,(3)BATHTUBS,(3)SHOWERS,(1)KICHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(6) <br /> SILLCOCKS,(3)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR AND(3)MISCELLANEOUS <br /> VALUATION OF PLUMBING 45000 <br /> APPLICANT PLUMBING FIXTURE FEE 562.50 <br /> STATE SURCHARGE PLBG(VALUATION) 22.50 <br /> STEWART PLUMBING,INC. MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 587.00 <br /> ROGERS,MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 587.00 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> STILLMAN,ANDREW <br /> 835 HLJNT FARM RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 180 days of the date of issuance,or if consWction 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C►'1i1. ���f � �� , a-, �s <br /> Applicant Permitee Signature Date Issue B Signature Date <br />