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. � CITY OF ORONO * z 0 1 z - 0 1 1 0 z * <br /> ' 2750 KELLEY PARKWAY DATE ISSUEU: 10/30/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> NERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTG:: PLliMl3(NG FIXTURf?S: <br /> (6)WA"I'ER CLOSE"I�S,(6)LAVA"I�OKIh'S,(2)I3ATH"I�U13S,(3)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL <br /> (2)DISHWASHERS,(6)SILLCOCKS,(3)FLOOR DRAINS.(2)WASHGRS,(I)WATGR HEATI�,R&(1)WET BAR <br /> VALUATION OF PLUMBING 290�30 <br /> APPLICANT PLUMBING FIXTURE FEE 363.00 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 14.52 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 MAIL-IN FEE 2.00 <br /> ROGERS, MN 55374 TOTAL 379.52 <br /> (763)428-1833 PAID WITH CC# 3122 <br /> OWNER <br /> MCGLYNN, THOMAS&TONI <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work Ibr which this permit is issued shall be performed according to <br /> th�approved plans and specifications,applicablc City approvals,and the <br /> State Building Code. This permit is for only the work dcscribed and does <br /> not grant permission for 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."I'his permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time aCter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pennit may be <br /> revoked at any time for due cause. <br /> L�iff-t.L� /l� �3� i /�--- /� ��O � /Y. <br /> Applicant Permitee Sign re Date ssue y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />