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CITY OF ORONO * Z p� 1 5 - 0 0 7 7 9 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015 <br />� ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 517 FERNDALE RD N <br /> PIIV : 36-118-23-14-0007 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (7)WATER CLOSETS,(11)LAVATORIES,(3)BATHTUBS,(4)SHOWERS,(2)KITCHEN SINKS,(3)DISPOSALS,(3) <br /> DISHWASHERS,(2)SILLCOCKS,(3)FLOOR DRAINS,(1)SEWER EJECTOR,(2)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 22000 <br /> APPLICANT PLUMBING FIXTURE FEE 275.00 <br /> STATE SURCHARGE PLBG(VALUATION) 11.00 <br /> SERVIN PLUMBING&HEATING <br /> 24752 705TH AVE TOTAL 286.00 <br /> DASSEL, MN 55325 Payment(s) <br /> CREDIT CARD 4098 286.00 <br /> (320)275-0190 <br /> OWNER <br /> BURNET,RALPH&PEGGY <br /> 392 FERNDALE RD <br /> WAYZATA, MN 55391- <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 gran[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 l80 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 /> revoke at ny time for due cause. � <br /> �"'� -`-�`�`rSrt� � l�LI/ l / � <br /> p icant Perm tee Signature Date Issued Signature Date <br />