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L <br /> CITY OF ORONO * 2012 - 00657 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/11/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 505 WILLOW DR S <br /> PIN 04-117-23-41-0012 <br /> LEGAL DESC MAJESTIC SPRUCE ADDITION <br /> LOT 2 BLOCK 1 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS, <br /> (2)KITCHEN SINKS,(1)EACH OF DISPOSAL,DISHWASHER,FLOOR DRAINS,WATER HEATER <br /> AND WET BAR <br /> VALUATION OF PLUMBING 24881 <br /> APPLICANT PLUMBING FIXTURE FEE 311.01 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 12.44 <br /> 2200 HIGHWAY 13 TOTAL 323.45 <br /> BURNSVILLE,MN 55337 <br /> (952)767-1000 PAID WITH CC# 1556 <br /> OWNER <br /> MOORHOUSE&SHAYNE ERNZER,MARK <br /> 505 WILLOW DR S <br /> LONG LAKE,MN 55356- <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 /> l ,l id� 7/ // //.,'- 7i /l i/ , <br /> Applicant Permitee Signature Date ss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />