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CITY OF ORONO * 2 0 1 5 - 0 1 2 7 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2015 <br /> � ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1125 HUNTER DR <br /> PIN : 25-118-23-31-0004 <br /> LEGAL DESC : TEN OAKS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURES IN BARN(1 WATER CLOSET, 1 LAVATORY, 1 SHOWER, 1 FLOOR DRAIN, 1 SEWER EJECTOR, I <br /> ELECTRIC WATER HEATER) <br /> VALUATION OF PLUMBING 3000 <br /> APPL[CANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> FRANK MOTZKO PLUMBING TOTAL 51.50 <br /> 4201 ZARTHAN Payment(s) <br /> MN 55416- CHECK 18095 51.50 <br /> (952)929-6048 <br /> Minnesota State License#:plbg-PC644443 <br /> OWNER <br /> PERRY, CHRISTOPHER& KELLY <br /> 1125 HUNTER DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 goveming 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 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 /> /' � <br /> � �N�Y.�� �=--� ;� ���=_��� C �'' ��U � ��� <br /> � � <br /> plic t Permitee Sigt�a ure Date Issued By Signat� Date <br />