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� <br /> ' CITY OF ORONO * z 0 1 5 - 0 0 3 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3484 LYRIC AVE <br /> PIN : 17-117-23-43-0157 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT MB BLOCK 5 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 3 WATER CLOSET,2 LAVATORY, 1 BATHTUB, I SHOWER, 1 KITCHEN SINK. 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, <br /> 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> STATE SURCHARGE PLBG(VALUATION) 0.00 <br /> WATERTOWN PLUMBING TOTAL 62.50 <br /> 604 HILLSIDE DRIVE NW Payment(s) <br /> WATERTOWN,MN 55388- CREDIT CARD 9753 62.50 <br /> (952)255-8212 <br /> Minnesota State License#: plbg-PC644088 <br /> OWNER <br /> Energy Star Homes of MN <br /> 25 MOUND AVE <br /> TONKA BAY, MN 55331- <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 onty 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 perrrtit 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. ;j <br /> � <br /> l� � <br /> , '?, ,-�� C <br /> .- . <br /> ��„1'(,'� � �� . �._`,_ �,\, I�_�.'�. `._�1' ��� �� �- � � � _J <br /> � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />