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� • CITY OF ORONQ * Z 0 1 3 — 0 0 7 2 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4395 NORTH SHORE DR <br /> PIN : 07-117-23-43-0018 <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: PLUMBING FIXTURES: <br /> (4)WATER CLOSETS,(6)LAVAOTIRES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL <br /> (1)DISHWASHER,(2)SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER <br /> (1)WATER SOFTENER AND(2)WET BARS <br /> VALUATION OF PLUMBING 24470 <br /> APPLICANT pLUMBING FIXTURE FEE 305.88 <br /> SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATIOl� 12.24 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- MAIL-IN FEE 2.00 <br /> (763)6147963 TOTAL 320.12 <br /> Minnesota State License#:066807 PM PAID WITH CC# 3580 <br /> OWNER <br /> CORNESS,JOHN&BARBARA <br /> 4395 NORTH SHORE DR <br /> MOLJND,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 separate <br /> permits. All provisions of laws and ordinances goveming this type of work ' <br /> shali 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 daYe 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.'I'his permit may be <br /> revoked at any time for due cause. <br /> �u.ati� 7���/3 � 7� a�' �3 <br /> Applic t Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />