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CITY OF ORONO * Z 0 1 5 - 0 0 4 5 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/2U2015 <br /> ' � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4174 HIGHWOOD RD <br /> PIN : 07-117-23-44-0026 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 032 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 10000 <br /> APPLICANT PLUMBING FIXTURE FEE 125.00 <br /> STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> KAB PLUMBING LLC TOTAL 130.00 <br /> 20725 196TH AVE NW Payment(s) <br /> B[G LAKE, MN 55309- CREDIT CARD 6396 130.00 <br /> Minnesota State License#: plbg-690863 <br /> OWNER <br /> LUNDE, DAVE <br /> P O BOX 4551 <br /> ST PAUL,MN 55104- <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 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 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 I SO days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> request d in conformance with the S[ate Building Code.This permit may be <br /> re y time f e . � <br /> �' 7 � " � � - - �Z� � �.� <br /> Applicant Permitee Signature Date Issued y Signature Date <br />