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� � � <br /> CITY OF ORONO * 2 0 1 e - 0 0 1 6 e * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/16/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1720 SHADYWOOD RD <br /> PIN : 17-117-23-21-0019 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLLTMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(3)SHOWERS,(2)KITCHEN SNIKS,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(2)FLOOR DRAINS,(2)WASHERS,(1)WATER HEATER,(1)DOG WASH <br /> VALUATION OF PLUMBING 25000 <br /> APPLICANT PLUMBING FIXTURE FEE 312.50 <br /> STATE SURCHARGE PLBG(VALUATION) 12.50 <br /> SERVIN PLUMBING&HEATING TOTAL 325.00 <br /> 24752 705TH AVE Payment(s) <br /> DASSEL,MN 55325 CREDIT CARD 4098 325.00 <br /> (320)275-0190 <br /> OWNER <br /> HANSBERGER,TRAVIS <br /> 651 LEXIE CT <br /> EAGAN,MN 55123- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> tt►e 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 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 construcNon 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 /> --��.�� �- � 02-,` , l <br /> Appli t Permitee Signature Date Issued B� Si ature Date <br />