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, � � CITY OF ORONO * Z 0 1 3 - 0 0 3 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 325 CRESTVIEW AVE <br /> PIN : OS-]17-23-14-0031 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURF S: <br /> (4)WATER CLOSETS,(6)LAVATORIES,(2)BATIfTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISf�IWASHER <br /> (2)SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(2)WASHERS,(1)WATER H�ATER,(1)WATER SOFTENER AND <br /> (1)WET BAR <br /> VALUATION OF PLUMBING 13000 <br /> APPLICANT PLUMBING FIXTURE FEE 162.50 <br /> IRON RIVER PLUMBING STATE SURCHARGE PLBG (VALUATION) 6.50 <br /> 820 3RD AVE NW <br /> PINE CITY, MN 55063- TOTAL 169.00 <br /> (763)244-7481 <br /> OWNER <br /> SULLIVAN, WENDY <br /> P.O. BOX 581774 <br /> MINNEAPOLIS, MN 55401- <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 /> Sta[e Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed 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 specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspe ed for a period of 180 days at any time after work has commenced. <br /> Th p ica t is responsible for assuring all required inspections are <br /> r uest d conforma wit�i the State Building Code.This permit may be <br /> evok any time f��r,,�,ue ause. <br /> .i�l� ,.� <br /> .., � � / � 8' � � <br /> pplicant Permitee Signature Date Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />