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CITY OF ORONO * z 0 1 3 - 0 0 B 1 4�� <br /> , - <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4315 NORTH SHORE DR <br /> PIN : 07-117-23-43-0028 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMTT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL � <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN, 1 SEWER EJECTOR, 1 WATER HEATER � <br /> 1 ST FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER <br /> 2ND FLOOR:3 WC,4 LAV,2 TUB,2 SHOWER <br /> VALUATION OF PLUMBING 52850 <br /> APPLICANT pLUMBING FIXTURE FEE 660.63 <br /> FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 26.43 <br /> 8382 172ND AVE SE <br /> BECKER,MN 55308- TOTAL 687.06 <br /> (612)363-6190 <br /> Minnesota State License#: 004042PM <br /> OWNER <br /> CLEVELAND,BRADLEY&PAT <br /> 4520 JUNEAU LANE N <br /> PLYMOUTH,MN 55446- <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 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 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 e r due cau . <br /> � CJ l /�l l� l / <br /> Applicant Permitee Signature Date <br /> Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O . <br />