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e � <br /> CITY OF ORONO * 2 0 1 s - 0 0 9 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: 952)249-4616 <br /> ADDRESS : 3188 NORTH SHORE DR <br /> PIN : 09-117-23-32-0011 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(2)DISHWASHERS,(2)SILLCOCKS, <br /> (1)FLOOR DRAIN,(1)LALTNDRY TRAY,(1)WASHER,(1)WATER HEATER,(2)WET BARS,(1)WATER SOFTENER <br /> VALUATION OF PLUMBING 16500 <br /> APPLICANT PLUMBING FIXTURE FEE 206.25 <br /> STATE SURCHARGE PLBG(VALUATION) 8.25 <br /> GRUPA MECHANICAL CONTRACTORS INC. TOTAL 214.50 <br /> 12180 19TTH COURT NW Payment(s) <br /> ELK RIVER,MN 55330 CREDIT CARD 5918 214.50 <br /> (763)441-5360 <br /> OWNER <br /> RUCINSKI,MICHEAL&HOLLY <br /> 3188 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 /> 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 requ'ves 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 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 conformance with the State Building Code.This permit may be <br /> revoked at a ti for due caus <br /> � � � iD/ � l� <br /> Applicant Permitee Signa ure Date Issued Signature Date <br />