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CITY OF ORONO * z 0 1 7 - 0 0 5 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 797 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0021 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(4)LAVATORIES.(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(DISPOSAL),(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN,(i)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 14900 <br /> APPLICANT PLUMBING FIXTURE FEE 186.25 <br /> SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.45 <br /> 1521 94TH LANE NE MAIL-IN FEE 2.00 <br /> BLAINE,MN 55449 TOTAL 195.70 <br /> (651)786-4007 Payment(s) <br /> Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 33922 195J0 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DWVE <br /> MINNETONKA,MN 55343- <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. <br /> C ���� �� /,Z <br /> Applicant Permitee Signature Date [s ued By S' ature Date <br />