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.. <br /> CITY OF ORONO * 2 0 1 7 — 0 1 4 3 2 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: i l/02/2017 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4460 NORTH SHORE DR <br /> PIN : 07-117-23-31-0039 <br /> LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLLTMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MUL'I'IPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER <br /> VALUATION OF PLUMBING 4600 <br /> APPLICANT PLUMBING FIXTURE FEE 57.50 <br /> J.SCOTT PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.30 <br /> 24421 QUINLAN AVE N TOTAL 59.80 <br /> SCANDIA,MN 55073- Payment(s) <br /> CHECK 15782 59.80 <br /> OWNER <br /> LOMA,JOSEPH&LISA <br /> 4460 NORTH SHORE DR <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this pe�mit is issued shall be performed according to <br /> the approved plans and specifications,applicable City appmvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant pertnission for addidonal or related work wluch requires separate <br /> permits. All pmvisions 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 az►d void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construcNon is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> 'fhe 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 du cause. � <br /> � , � s� �r , �Z, �,z <br /> Applican rmitee Signature Date Issued B ignature Date <br />