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CITY OF ORONO �' '1 �� 11 1 1 id I <br /> * 20 1 4 - 0 1 1 92 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014 <br /> ORONO,MN 55356- <br /> • <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1130 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-14-0007 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSET,LAV,BATHTUB,SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER <br /> VALUATION OF PLUMBING 7000 <br /> APPLICANT PLUMBING FIXTURE FEE 87.50 <br /> STATE SURCHARGE PLBG(VALUATION) 3.50 <br /> STEWART PLUMBING,INC. TOTAL 91.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 Payment(s) <br /> ROGERS,MN 55374 CHECK 12555 91.00 <br /> (763)428-1833 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> Spotted Dog LLC <br /> 1907 E WAYZATA BLVD <br /> #300 <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: , time for due caus>. <br /> , • /1/, / / <br /> App .nt Permitee i_ a ure Date Issued y Signature Date <br />