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CITY OF ORONO I 1 I <br /> * 2018 - 00304 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2839 GOLDENROD WAY <br /> PIN : 33-118-23-24-0029 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 4 BLOCK 3 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER <br /> VALUATION OF PLUMBING 15021 <br /> APPLICANT PLUMBING FIXTURE FEE 187.77 <br /> STATE SURCHARGE PLBG(VALUATION) 7.51 <br /> SABRE PLUMBING&HEATING MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447- TOTAL 197.28 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 197.28 <br /> OWNER <br /> OP5 Orono LLC <br /> 15250 WAYZATA BLVD#101 <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. J1 �p �) <br /> ( vWMLuI) <br /> Applicant Permitee Signature Date Issued By Signature Date <br />