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CITY OF ORONO <br /> * 2016 - 00203 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/01/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS 2535 OLD BEACH RD <br /> PIN 21-117-23-22-0019 <br /> LEGAL DESC THE MARSH AT LAFAYETTE <br /> LOT 006 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 7800 <br /> APPLICANT PLUMBING FIXTURE FEE 97.50 <br /> STATE SURCHARGE PLBG(VALUATION) 3.90 <br /> STEINKRAUS PLUMBING INC. MAIL-IN FEE 2.00 <br /> 112E5TH ST <br /> SUITE 101 TOTAL 103.40 <br /> CHASKA,MN 55318 Payment(s) <br /> (952)361-0128 CREDIT CARD 0298 103.40 <br /> Minnesota State License#:mech-MB003824 <br /> OWNER <br /> CODUTE,TOM&ALICIA <br /> 2535 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. /n <br /> ac <br /> Applicant Permitee Signature Date Issued By Signa a Date <br />