Laserfiche WebLink
CITY OF ORONO * z 0 1 5 - 0 0 6 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/18/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4215 NORTH SHORE DR <br /> PIN : 07-117-23-43-0006 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 KITCHEN SINK, 1 DISPOSAL, I DISHWASHER <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> NEIS PLUMBING&HEATING TOTAL 50.50 <br /> P.O. BOX 335 Payment(s) <br /> SAUK RAPIDS,MN 56374- CREDIT CARD 4031 50.50 <br /> (320)980-4382 <br /> Minnesota State License#: plbg-003937 <br /> OWNER <br /> WALDOCH, DOUGLAS&DIANE <br /> 4215 NORTH SHORE DR <br /> MOUND,MN 55364- <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 /> 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 no[ <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 afrer 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 any time for due cause. I <br /> {' � <br /> � .. - �. � � ��y���L� � , ! � , 1 <br /> � <br /> Ap icant Permitee Signature �� Date �— Issued Signature Date <br />