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_ CITY OF ORONO * z 0 1 6 - 0 1 0 1 z * <br /> " , " 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 145 MANOR CIR <br /> PIN : 04-117-23-11-0024 <br /> LEGAL DESC : COUNTRYSIDE MANOR 3RD ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (I)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(l)SHOWER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICAPIT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> BEN SCHERER PLUMB[NG& HVAC INC. TOTAL 51.50 <br /> 4520 85TH STREET SE <br /> DELANO, MN 55328- Payment(s) <br /> (763)972-8137 CREDIT CARD 4343 51.50 <br /> Minnesota State License#: mech-MB003633,p1bg-PC648530 <br /> OWNER <br /> NAFSTAD,ADAM&KRISTIN <br /> 145 MANOR CIR <br /> LONG LAKE, MN 55356- <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 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 l80 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 /> �"��� ...-:� � y�O � /y) <br /> � ' � �,Y! � o �.e �u V f��-�� � <br /> Applicant Permitee Signature Date Issu d B ignature Date <br />