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CITY OF ORONO * 2017 - 01301 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/11/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1315 TONKAWA RD <br /> PIN : 08-117-2342-0012 <br /> LEGAL DESC : TONKAWA SHORES SECOND ADDITION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> NYBO-PETERSON CO.INC. <br /> STATE SURCHARGE PLBG(VALUATION) 2.50 <br /> TOTAL 65.00 <br /> 6606 280TH.STREET Payment(s) <br /> MN 55088- CREDIT CARD 1706 65.00 <br /> (952)461-2749 <br /> Minnesota State License#:plbg-PC643268,mech-MB004536 <br /> OWNER <br /> FERRIS,LISA <br /> 1315 TONKAWA 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. 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 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 /> Ap licant Permitee Signature Date Issued ffflSignature Date <br />