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, ., CITY OF ORONO * 2 P1 1 4 — fd 0 2 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 CREEK R1DGE PASS <br /> PIN : 03-117-23-12-0012 <br /> LEGAL DESC : CREEKS[DE IN ORONO <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NO'I'E: BSM7': 2 WC,2 LAV,2 SHOWER,2 FLOOR DRAINS, WA"I ER HEA"IER, WET BAR <br /> 1S"I'FL: 2 WC,3 LAV, 1 TUB, 1 KITCHI;N SINK, 1 DISPOSAL, 1 DISHWASHER,3 SII,LCOCKS,4 FLOOR DRAINS. 1 LAUNDRY TRAY, 1 <br /> WASHER, 1 WET BAR <br /> 2ND FL:2 WC,2 LAV,2 SHOWER 1 FOOR DRAIN, 1 WASE[ER <br /> VALUATION OF PLUMBING ?2000 <br /> APPLICANT PLUMB[NG FIXTURE FEE 275.00 <br /> KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 1 1.00 <br /> 1 168 [FFERT AVE SE TOTAL 286.00 <br /> BUFFALO, MN 55313- Payment(s) <br /> (612)282-5041 CHECK 8852 286.00 <br /> Minnesota State License#: plbg-609777 <br /> OWNER <br /> ROBIN, JOHN& CYNTHIA <br /> 5925 FIELDSTONE PLACE <br /> 1NDEPENDENCE, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall be perlormed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied 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 confonnance with,thc State Building Code.This permit may be <br /> revoked at any time for due c se. <br /> �� <br /> �/C/�-�/ � / / <br /> i' <br /> Ap�t Permitee Signature Date Issued B . � nature Date <br />