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• CITY OF ORONO (*' z a li 8 - 00088 * <br /> II 1 I I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/25/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1525 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0002 <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 25572 <br /> APPLICANT PLUMBING FIXTURE FEE 319.65 <br /> STATE SURCHARGE PLBG(VALUATION) 12.79 <br /> SABRE PLUMBING&HEATING MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447- TOTAL 334.44 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 334.44 <br /> OWNER <br /> TAMOSUINAS,LINDA <br /> 430 PHEASANT RIDGE ROAD <br /> WAYZATA, MN 55391- <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 governing 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> dJ Pei ) A51 /f <br /> Applicant Permitee Signature Date Issued y#gi <br /> re Date <br />