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, CITY OF ORONO * 2 0 1 5 — PJ 1 2 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/2U2015 <br /> ` ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 559 PARK LA <br /> PIN : 06-117-23-41-0044 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,7 LAVATORY,3 BATHTUBS,3 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, <br /> 2 SILLCOCKS, 1 FLOOR DRAIN, 1 LALJNDRY TUB,2 WASHERS, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 22788 <br /> APPLICANT PLUMBING FIXTURE FEE 284.85 <br /> NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 1139 <br /> 22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00 <br /> MN 55070- TOTAL 298.24 <br /> (763)753-3373 Payment(s) <br /> Minnesota State License#:plbg-PC642884 CHECK 19679 298.24 <br /> OWNER <br /> O'DONNELL,TIMOTHY&JOAN <br /> 559 PARK LA <br /> LONG LAKE,MN 55356- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hereia 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 aze <br /> requested in conformance with the State Building Code.1'his permit may be n ,„ <br /> revoked at any time for due cause. _ , �/j�� <br /> I�� � o 1--�-`�� q ,��, � <br /> Applicant Permitee Signature Date Issued By Signatu Date <br />