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CITY OF ORONO *11 1 111 111131 <br /> 0 4 I I z I� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 DUNWOODY AVE <br /> PIN : 20-117-23-21-0019 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 003 BLOCK 007 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSET,(4)LAVATORY,(1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER,(1)LAUNDRY TRAY,(1)WATER <br /> HEATER <br /> VALUATION OF PLUMBING 10100 <br /> APPLICANT PLUMBING FIXTURE FEE 126.25 <br /> STATE SURCHARGE PLBG(VALUATION) 5.05 <br /> B&B PLUMBING TOTAL 131.30 <br /> 25593 109TH ST <br /> ZIMMERMAN,MN 55398- Payment(s) <br /> (612)239-6149 6 CHECK 4323 131.30 <br /> Minnesota State License#:plbg-PC675878,mech-MB704145 <br /> OWNER <br /> ROSHOLT,JACOB&DEBRA <br /> 2500 DUNWOODY AVE <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 tate r uilding Code.This permit may be <br /> revoked at any time for due c <br /> Pgthe" Ab- 11 / if <br /> ApplicantPmite gnaw( ' Date <br /> Issue y Signature Date <br />