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„ CITY OF ORONO * Z 0 1 6 - 0 0 5 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2000 SHADYWOOD RD <br /> pi� : 17-117-23-31-0001 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW:4 WATER CLOSETS,6 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 SILCOCKS, 1 FLOOR <br /> DRAIN5, <br /> 1 SEWER EJECTOR, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 18000 <br /> APPL[CANT PLUMBING FIXTURE FEE 225.00 <br /> STATE SURCHARGE PLBG(VALUATION) 9.00 <br /> CARLSON PLUMBING TOTAL 234.00 <br /> 19240 ISETTA ST NE Payment(s) <br /> EAST BETHEL,MN 55092- CHECK 6544 234.00 <br /> (651)291-7788 <br /> Minnesota State License#: plbg-PM062270 <br /> OWNER <br /> Sustainable 9 Holdings LLC <br /> 124 MAIN ST SE <br /> SUITE#343 <br /> MINNEAPOLIS,MN 55414- <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark 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 oY'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 /> G`� 1 <br /> �c� � � 1����� � � � � <br /> Applicant Permitee Signature Date [ssue By Signature Date <br />