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CITY OF ORONO �0 1 3 - 0 1 2 4 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1 U26/2013 <br /> , ORONO, MN 55356- <br /> ,. (952) 249-4600 FAX: (952) 249-4616 <br /> ADDR�SS : 3048 NORTH SHORE DR <br /> PIN : 09-117-23-32-0004 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BSMT:2 WC,2 LAV,2 SHOWER,3 SILLCOCKS,6 FLOOR DRAINS, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR <br /> 1 ST FL: 2 WC,3 LAV, 1 TUB, 1 SHOWER, I KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER <br /> 2ND FL: 1 WC,2 LAV, 1 SHOWER <br /> VALUATION OF PLUMBING 34800 <br /> APPLICANT PLUMBING FIXTURE FEE 435.00 <br /> SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 17.40 <br /> 1 1473 KENYON COURT <br /> BLAINE, MN 55449- MAIL-IN FEE 2.00 <br /> (763)614-7963 TOTAL 454.40 <br /> Minnesota State License#: 066807 PM <br /> OWNER <br /> KALLAS, KATHRYN D <br /> 1 1653 CEDAR PASS <br /> HOPKINS, MN 55343- <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 /> permi[s. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become nuil and void if construction authorized is not <br /> commenced wi[hin 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 /> l'he 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 canse. <br /> __���.0`-G"�'�' <br /> �. � � / / <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />