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CITY OF ORONO I l* 20 il60i556 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 460 ORCHARD PARK RD <br /> PIN : 32-118-23-23-0012 <br /> LEGAL DESC : ORCHARD FARMS <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(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 18000 <br /> • <br /> APPLICANT PLUMBING FIXTURE FEE 225.00 <br /> STATE SURCHARGE PLBG(VALUATION) 9.00 <br /> MANATEE PLUMBING TOTAL 234.00 <br /> 11525 199TH CIRCLE Payment(s) <br /> SILVER LAKE,MN 55381- CHECK 9200 234.00 <br /> (612)756-1172 <br /> Minnesota State License#:plbg-005923PM,mech-MB005101 <br /> OWNER <br /> MULHERAN,PATRICK&MELISSA <br /> 4128 HALLGREN LA <br /> EXCELSIOR,MN 55331- <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 /> i2e-I /54 / a-6/ <br /> Applicant Permitde Signature Date Issued By Si ature Date <br />