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CITY OF ORONO * 2 0 1 4 - 0 0 4 5 1 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1404 BALDUR PARK RD <br /> PIN : 08-117-23-34-0018 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 014 BLOCK 00] <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NOTE: 1ST PLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, l DISPOSAL, 1 DISHWASt�IER,2 SILLCOCKS,2 FLOOR DRAINS, 1 WATER <br /> HEATER, 1 WATER SOF"i'NER <br /> 2ND FL:3 WC,4 LAV,3'I'UB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHF,R <br /> 3RD FLOOR: 1 WC, l LAV, 1 SHOWER, I KITCHFN STNK, l DISHWASHER <br /> VALUATION OF PLUMBING 16400 <br /> APPLICANT PLUMBING FIXTURE FEE 205.00 <br /> STATE SURCHARGE PLBG (VALUATION) 8.20 <br /> VODA PLUMBING <br /> TOTAL 213.20 <br /> 6417 PENN AVE. S. Payment(s) <br /> RICHFIELD, MN 55423- <br /> (612)282-9036 CHECK 3613 213.20 <br /> Minnesota State License#: plbg-7598 <br /> OWNER <br /> MILBRATH, BENJAMIN <br /> 2909 WEST DAYTON LANE <br /> SPOKANE, WA <br /> , 992]8- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work lor which this permit is issucd shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission fbr 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 voi nstruction authorized is not <br /> commenced within 180 days the te of issuance,or if construction is <br /> suspended for a period of 0 days t any time after work has commenced. <br /> The applicant is re ons le for suring all required inspections are <br /> requested in co man e with e State Building Code.This permit may be <br /> revoked at an t o <br /> / / <br /> A pli Pe e Signature Date Issued By ature Date <br />