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s ' ' <br /> CITY OF ORONO PERMIT IvO.: 2011-00904 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 08/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2540 SANDSTONE LA <br /> PIN : 33-118-23-11-0016 <br /> LEGAL DESC : STONEBAY <br /> : LOT 013 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES(DENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: COMPLETING PLUMBING- SGTTING FIXTURES-ORIGINAL CON"CRACTOR DID NOT FINIS}i JOB <br /> (3)WATER CLOSETS,(4)LAVATORIES,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)LAUNDRY TRAY <br /> (1)WASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> K& S PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> 9572 KNOX AVE.N. TOTAL 51.50 <br /> BROOKLYN PARK, MN 55444- <br /> (763)425-8760 <br /> Minnesota State License#: 065380-PM <br /> OWNER <br /> O.T. Development,LLC <br /> 10300 IOTH AVE.N. <br /> PLYMOUTH, MN 55441- <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 inspec[ions are <br /> requested i nformance with the State Building Code.This permit may be <br /> revoked a tim r u ause. <br /> � / � ��a � i -� B��aa�� � � <br /> Applicant Permitee Signature Date �� <br /> Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />