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� CITY OF ORONO PERMIT NO.: 2011-00387 <br /> } � 2750 KELLEY PARKWAY <br /> i � ORONO,MN 55356- DATE ISSUED: OS/24/2011 _ <br /> ; <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3472 SHORELINE DR <br /> PIN : 17-117-23-43-0094 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 018 BLOCK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 LAUNDRY TRAY <br /> VALUATION OF PLUMBING 500 <br /> � <br /> 4 <br /> 1 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> DAVE DEMPSEY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> 17264 165TH SE TOTAL 50.25 <br /> ' BIG LAKE,MN 55309- <br /> Minnesota State License#: 058005 PM <br /> OWNER <br /> Bankunited FSB <br /> 7815 NW 148TH ST <br /> MIAMI LAKES,FL 33016-1554 <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 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 consVuction 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.This permit may be <br /> rev at any ti r due cause. <br /> � S/o? l l/ l l <br /> Applicant Permitee Sign Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br /> � <br />