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, , CITY OF ORONO * z 0 1 5 - 0 0 7 � 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3115 NORTH SHORE DR <br /> PIN : 09-117-23-32-0013 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (1)KITCHEN SINK,(I)DISPOSAL,(1)DISHWASHER,(1)LALINDRY TRAY AND(1)WET BAR <br /> VALUATION OF PLUMBING 7780 <br /> APPLICANT PLUMBING FIXTURE FEE 97.25 <br /> STATE SURCHARGE PLBG(VALUATION) 3.89 <br /> SPRING PLUMBING LLC MAIL-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- TOTAL 103.14 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#:plbg-066807 PM CREDIT CARD 3580 ]03.14 <br /> OWNER <br /> CONNELLY,THOMAS <br /> 3115 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 l80 days of the da[e 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due�cause. �- <br /> �L--�- �. . f�. <br /> �, � � <br /> Applicant Perm' e Signature Date Iss ed By;Signature Date <br />