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CITY OF ORONO * 2 0 1 3 - 0 1 2 3 3 * <br /> � <br /> 2750 KELLEY PARKWAY DATE ISSUED: l U20/2013 <br /> ORONO,MN 55356- <br /> ; (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2435 NORTH SHORE DR <br /> PIN : 09-117-23-44-0010 <br /> LEGAL DESC : SCOTCH PINE ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(1)SHOWER,(2)KITCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER <br /> (2)WATER HEATER AND(1)WET BAR <br /> VALUATION OF PLUMBING 20000 <br /> APPLICANT PLUMBING FIXTURE FEE 250.00 <br /> B&D PLUMBING&HEATING INC. STATE SURCHARGE PLBG(VALUATION) 10.00 <br /> 4145 MACKENZIE CT NE <br /> ST MICHAEL,MN 55376- MAIL-IN FEE 2.00 <br /> (763)497-2290 TOTAL 262.00 <br /> PAID WITH CC# 8094 <br /> OWNER <br /> HUNTLEY,MICHEAL&BONNIE <br /> 2435 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 does <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. 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 consuuction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />