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CITY OF ORONO * 2012 - 00832 <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4115 WATERTOWN RD <br /> PIN : 31-118-23-41-0014 <br /> LEGAL DESC : MAPLE PLACE 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 WATER HEATER <br /> 1 ST FLOOR: 1 LAUNDRY TRAY, 1 WASHER <br /> VALUATION OF PLUMBING 9300 <br /> APPLICANT PLUMBING FIXTURE FEE 116.25 <br /> STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 4.65 <br /> 112E 5TH ST <br /> SUITE 101 MAIL-IN FEE 2.00 <br /> CHASKA,MN 55318 TOTAL 122.90 <br /> (952)361-0128 <br /> OWNER <br /> DYER,MICHEAL&JILL <br /> 4115 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 <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 /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />