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CITY OF ORONO * Z 0 1 5 - 0 0 0 4� <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU13/2015 <br /> • ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 25 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0014 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTI01�1 TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES(2)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL,(1) <br /> DISHWASHER <br /> (1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 12000 <br /> APPLICANT PLUMBING FIXTURE FEE 150.00 <br /> STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> AMERICAN MECHANICAL CO, INC. TOTAL 156.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 Payment(s) <br /> LORETTO, MN 55357- <br /> CREDIT CARD 6915 156.00 <br /> (612)750-0278 <br /> OWNER <br /> RYAN, STEVEN&ANNE <br /> 25 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permi[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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances governing this type oY 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 afrer 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 /> revoked at any time Yor due cause. ` <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />