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CITY OF OR NO * 2017 - 01182 * <br /> 2750 KELLEY P AY DATE ISSUED: 09/22/2017 <br /> ORONO,MN 5 356- <br /> (952)249-4600 FAX: 52)2494616 <br /> ADDRESS : 425 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-31-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> LOT 020 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (6)WATER CLOSETS,(8)LAVATORIES,(1)BATH,(5)SHOWERS,(1 KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(6) <br /> SILCOCKS,(3)FLOOR DRIANS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR <br /> VALUATION OF PLUMBING 28895 <br /> APPLICANT PLUMB G FIXTURE FEE 361.19 <br /> SPRING PLUMBING LLC STATES CHARGE PLBG(VALUATION) 14.45 <br /> 11473 KENYON COURT MAIL- FEE 2.00 <br /> BLAINE,MN 55449- TOTAL 377.64 <br /> (763)614-7963 Payments) <br /> Minnesota State License#:plbg-PC643871 CHECK 10692 377.64 <br /> OWNER <br /> KVALSETH,JAHN&CHRISTINE <br /> 13650 ASHCROFT ROAD <br /> SAVAGE,MN 55378- <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 /> 1 -7 <br /> Applicant Permitee Signature Date Tssuea By&nature Date <br />