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. , , <br /> CITY OF ORONO * z 0 1 2 - 0 0 7 7 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> REPRINTED ON 8/13/2012 <br /> ADDRESS : 1587 MAPLE PL <br /> PIN : 08-117-23-33-0034 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 012 BLOCK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(2)SILLCOCKS,(1 EACH)SHOWER,KITCHEN SINK,DISPOSAL, <br /> SIDHWASHER,FLOOR DRAIN,WASHER AND WATER HEATER <br /> VALUATION OF PLUMBING 9390 <br /> APPLICANT PLUMBING FIXTURE FEE 117.38 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 4.70 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 <br /> (763)473-2267 TOTAL 124.08 <br /> PAID WITH CC# 1207 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST.CLOUD,MN 56303- <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke�at any time for due cause. <br /> ( � �/ �3 / /�� �/ �� / /sZ. <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />