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CITY OF ORONO PERMIT NO.: 2011-01356 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/31/2011 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 840 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-12-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BSMT: 1 WC, 1 LAV, 1 SHOWER,2 SILLCOCKS,2 FLOOR DRAINS,URINAL&DRINKING FOUNTAIN <br /> 1ST FL: 1 WC, 1 LAV, 1 KITCHEN SINK,2 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 <br /> WET BAR <br /> 2ND FL:3 WC,5 LAV,3 TUB, 1 SHOWER, <br /> OTHER: 2 FLOOR DRAINS <br /> VALUATION OF PLUMBING 22000 <br /> APPLICANT PLUMBING FIXTURE FEE 275.00 <br /> KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 11.00 <br /> 1168 IFFERT AVE SE <br /> BUFFALO,MN 55313- TOTAL 286.00 <br /> (612)282-5041 <br /> Minnesota State License#: 609777 <br /> OWNER <br /> WILLIAMS,JAMES&HEIDI <br /> 840 OLD CRYSTAL BAY RD S <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.• tie or due cause. <br /> ' (03/ i <br /> Applicant Pe itee Signature Date Issued By ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AVafe <br />