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CITY OF ORONO * Z 0 1 6 - PJ PJ 0 S 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU29/2016 <br /> • ORONO, MN 55356- <br /> ' (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3444 NORTH SHORE DR <br /> PIN : 08-117-23-43-0022 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 017 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WATER CLOSET, 1 LAVATORY, 1 SHOWER, 1 FLOOR DRAIN(REPLACE), 1 LAUNDRY TRAY, 1 WASHER, 1 WATER SOFTNEI <br /> 1 UTILITY/LAUNDRY SINK,BASEMENT RADIATOR HEAT <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> LEE LUMENDAL,DEBORAH TOTAL 52.00 <br /> 3444 NORTH SHORE DR Payment(s) <br /> WAYZATA, MN 55391- CHECK 6510 52.00 <br /> OWNER <br /> LEE LUMENDAL,DEBORAH <br /> 3444 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 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. ��n ^ <br /> The applicant is responsible for assuring all required inspections are �� <br /> r/ <br /> requested in conformance with the State Building Code.This permit may be '�� � <br /> revoked at any time for due cause. <br /> ;�__ ��-�-��� <br /> 1, 2 � / - <br /> Applicant Permitee Signature Date Issued By Signature� Date <br />