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CITY OF ORO O * 2 0 1 4 - 0 0 3 1 9 * <br /> " 2750 KELLEY PAR WAY DATE ISSUED: 04/15/2014 <br /> ORONO, MN 553 6- <br /> (952) 249-4600 FAX: (95 ) 249-4616 <br /> ADDRESS : 75 BAYSIDE TR <br /> PIN : 06-117-23-22-0030 <br /> LEGAL DESC : BAYSIDE MEADOWS <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTG: BSMT: 1 WC, 1 LAV, 1 SHOWER.2 SILLCOCKS, 1 FLOOR DRAIN, l W TER HTATER, 1 WL'"]�BAR <br /> I ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, l DISHWASH�R, <br /> 2ND FLOOR: 3 WC,5 LAV, 2 TUB,2 SHOWER, 1 LAUNDRY TRAY, l WASHER <br /> VALUATION OF PLUMBING ]7703 <br /> APPLICANT PLUMBI FIXTURE FEE 221.29 <br /> STATE S RCHARGE PLBG(VALUATION) 8.85 <br /> SABRE HEATING& AIR COND INC. MAIL-IN EE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN 55447 TOTAL 232.14 <br /> (763)473-2267 Payment( <br /> CREDIT ARD 0331 232.14 <br /> OWNER <br /> WACHMAN JR., ERVIN <br /> 2135 SALEM CT <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 spccifications,applicable City approvals,and the <br /> State I3uilding Code. 'I'his permit is ibr only the work described and does <br /> not grant permission t�or additional or rclated 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 ifconstruction 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 /> �,��� <br /> � � <br /> Applicant Permitee Signalure Date [ssued B gnature Date <br />