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CITY OF ORONO <br /> * 2015 - 00432 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3740 NORTHERN AVE <br /> PIN : 17-117-23-34-0088 <br /> LEGAL DESC : REG.LAND SURVEY NO.0763 <br /> LOT 2 BLOCK 1 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,7 LAVATORY,2 BATHTUB,3 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 <br /> FLOOR DRAINS, <br /> 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 14000 <br /> APPLICANT PLUMBING FIXTURE FEE 175.00 <br /> NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.00 <br /> 22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00 <br /> MN 55070- TOTAL 184.00 <br /> (763)753-3373 Payment(s) <br /> Minnesota State License#:plbg-PC642884 CHECK 19312 184.00 <br /> OWNER <br /> Atlas Homes <br /> 7082 EAST FISH LAKE RD <br /> MAPLE GROVE,MN 55311- <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 /> ty) <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />