Laserfiche WebLink
/ . 4 <br /> CITY OF ORONO * z 0 1 7 - 0 1 5 P1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/2?J2017 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4064 NORTH SHORE DR <br /> PIN : 07-117-23-44-0085 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER CLOSET,LAVATORY,BATHTUB <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> JANET M OBRIGEWITSCH,DAN H PHIPPS& TOTAL 50.75 <br /> 4064 NORTH SHORE DR <br /> MOUND,MN 55364 Payment(s) <br /> CHECK 8086 50.75 <br /> OWNER <br /> JANET M OBRIGEWITSCH,DAN H PHIPPS& <br /> 4064 NORTH SHORE DR <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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. 1'his permit is for only the work described and dces <br /> not grant permission for addiHonal 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 authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 any tune after work has commenced. o�"`"�� <br /> The applicant is responsibl for assurin all required inspecNons ere <br /> requested in conformence 'th the Sta Building Code.This permi ay be <br /> revok any tim for d caus <br /> � <br /> ` YW �� ��� 'L�. `!— <br /> Appl' t Permitee Signature Date Issued By ature Date <br />