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CITY OF ORONO I I 1 1 1 111I I I1 I I 3 I I I 111 II <br /> 2750 KELLEY PARKWAY * 0 1 7 - 0 1 1 1 <br /> DATE ISSUED: 09/11/2 <br /> 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1160 HERITAGE LA <br /> PIN : 10-117-23-13-0003 <br /> LEGAL DESC : FOXHILL <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSETS,(1)LAVATORIES,(1)SHOWER,(1)KITCHEN SNIK,(1)DISPOSAL,(1)DISHWASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> LAKE COUNTRY PLUMBING INC TOTAL 52.00 <br /> POBOX30 <br /> WACONIA,MN 55387- <br /> Payment(s) <br /> (952)467-5000 CREDIT CARD 3645 52.00 <br /> Minnesota State License#: plbg-PC645455 <br /> OWNER <br /> MITHUN,RAYMOND&SARAH <br /> 1160 HERITAGE LA <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 time for due cause. <br /> � 61/ /I //A lic Permitee Si ature <br /> J(1(f <br /> te / <br /> pp Signature Issued By Si ure Date <br />