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CITYOFORONO * z017 - 0026PJ * <br /> , 2750 KELLEY PARKWAY DATE [SSUED: 03/20/2017 <br /> �� ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2092 SHADYWOOD RD <br /> PIN : 17-117-23-31-0042 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW FIXTURES FOR MAIN FLOOR ROOMS/ADDITION:2 WATER CLOSETS,2 LAVATORY, 1 SHOWER, I K[TCHEN SINK, 1 <br /> WASHER <br /> VALUATION OF PLUMBING 11500 <br /> APPLICANT PLUMB[NG FIXTURE FEE 143.75 <br /> STATE SURCHARGE PLBG(VALUATION) 5.75 <br /> STEWART PLUMBING, INC. MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 151.50 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 151.50 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> MARTHA,GEOFFREY& STEPHANIE <br /> 2118 SHADYWOOD RD <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. "Chis 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 State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / <br /> �� ��- -) <br /> ��1��{ � i"111�, ���l����� � ��_ �C,' � ���� � <br /> �� ' � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />