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CITY OF ORONO * z 0 1 5 - 0 1 2 7 3 * <br /> � � � • 2750 KELLEY PARKWAY DATE ISSUED: 10/Ol/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4009 NORTH SHORE DR <br /> PIN : 07-117-23-44-0004 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> (4)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASI-IER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN.(1)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 16000 <br /> APPLICANT PLUMBING FIXTURE FEE 200.00 <br /> STATE SURCHARGE PLBG(VALUATION) 8.00 <br /> THOEN PLUMBING SERVICE,INC. TOTAL 208.00 <br /> 14980 MAPLEWOOD LANE payment(s) <br /> COLOGNE,MN 55422- CHECK 9458 208.00 <br /> (952)944-5399 <br /> Minnesota State License#:plbg-45767 <br /> OWNER <br /> Craig Scherber&Associates,Inc. <br /> 305 LAKEVIEW DR <br /> TONKA BAY,MN 55331- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 suthorized 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 are <br /> requested in confotmance with the State Building Code.1'his permit may be <br /> revoked at ' e f due cause. , <br /> � L ---� <br /> �^ . ��/� 'S `"Pi�, ( �07 � � l /� <br /> cant ermitee ignature Date Issued ignature Date <br />