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� CITY OF ORONO * 2 0 1 6 - PJ 0 2 0 9 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 425 LAKEVIEW PKWY <br /> pI� : 06-117-23-32-0004 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> COPISTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)D[SPOSAL,(1)DISHWASHER,(1) <br /> FLOOR DRAIN,(1)LALINDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 16000 <br /> APPLICANT PLUMBING FIXTURE FEE 200.00 <br /> STATE SURCHARGE PLBG(VALUATION) 8.00 <br /> AMERICAN MECHANICAL CO,INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. TOTAL 210.00 <br /> PO BOX 205 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 210.00 <br /> OWNER <br /> Source Land Development Inc. <br /> 182]5 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 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 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. r�'j <br /> ��O�.l �-c� o� �v c��-e� �`�,�--FS l� �`J � 1 � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />