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CITY OF ORONO *1111112 1111111 7 — 0 1 to 8 7 <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2505 OLD BEACH RD <br /> PIN : 21-117-23-22-0018 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORY,(1)BATHTUB,(1)SHOWER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BLUE WATER PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 5026 ALPHA ROAD MAIL-IN FEE 2.00 <br /> PRINCETON,MN 55371 TOTAL 54.00 <br /> (763)238-1002 Payment(s) <br /> Minnesota State License#:plbg-PC001640 CREDIT CARD 6764 54.00 <br /> OWNER <br /> SHERMAN,MR.&MRS. <br /> 2505 OLD BEACH RD <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 /> Applicant Permitee Signature Date Iss d ignature Date <br />