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CITY OF ORONO * 2 0 1 5 - 0 1 3 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1105 BROWN RD S <br /> PIN : 10-117-23-24-0004 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KICHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN,(1)LALJNDRY TRAY,(1)WATER HEATER,AND(1)WET BAR <br /> VALUATION OF PLUMBING I5000 <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> STATE SURCHARGE PLBG(VALUATION) 7.50 <br /> AMERICAN MECHANICAL CO, INC. MAIL-[N FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 197.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 197.00 <br /> OWNER <br /> Norton Homes <br /> 18215 45TH AVE N,#D <br /> PLYMOUTH, MN 55441- <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 cequires separate <br /> permits. All provisions of laws and ordinances governing[his 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 l80 days at any time afrer 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 /> �r2.c�c�,(.-� J� -Lc� v �� i�i/S <br /> Applicant Permitee Signature Date Issu y Signature Date <br />