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CITY OF ORONO *2 0 1 5 — 0 0 4 6 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3880 SHORELINE DR <br /> PIN : 17-117-23-33-0151 <br /> LEGAL DESC : LTNPLATTED 17 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 3 WATER CLOSETS,2 LAVATORY,2 SHOWER, 1 KITCHEN SINK, 1 SILCOCKS,8 FLOOR DRAINS,2 LAUNDRY TUB, 1 WATER <br /> HEATER, <br /> 1 FLAM TANK& 1 DRINKER <br /> VALUATION OF PLUMBING 107000 <br /> APPLICANT PLUMBING FIXTURE FEE 1,337.50 <br /> STATE SURCHARGE PLBG(VALUATION) 53.50 <br /> NORTHERN MECHANICAL MAIL-IN FEE 2.00 <br /> 1975 SENECA RD TOTAL 1,393.00 <br /> EAGAN, MN 55122- <br /> (651)789-2275 Payment(s) <br /> CREDIT CARD 1930 1,393.00 <br /> OWNER <br /> Hennepin County <br /> A 1730 GOVERNMENT CTR <br /> 300 S 6TH STREET <br /> MINNEAPOLIS, MN 55487- <br /> AGREEIvIEN'�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 cequires separate <br /> permiu. 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 construc[ion authorized is not <br /> commeneed 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 alI 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 /> i'U� <br /> .}�Q r / f; c,�� (��-�v�-v�_c,`� � �s � 1 S <br /> Applicant Permitee Signature Date Issued By Signature Date <br />