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CITY OF ORONO * 2 0 1 3 - 0 0 B 6 0 * <br /> „ 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2013 <br /> � ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 8/26/2013 <br /> ADDRESS : 3625 JACOBS MILL RD <br /> PIN : 32-118-23-24-0013 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BSMT:3 WC,3 LAV,2 TUB, 1 SHOWER,KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WASHER, 1 <br /> WATER HEATER, 1 WET BAR <br /> IST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 LAUNDRY TRAY, 1 WASHER, 1 WET BAR <br /> 2ND FLOOR: 1 WC, 1 LAV, 1 TUB <br /> VALUATION OF PLUMBING 15000 <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> SOUTH MECHANICAL CONTRACTORS STATE SURCHARGE PLBG(VALUATION) 7.50 <br /> 21005 LANGFORD AVE <br /> JORDAN,MN 55352 TOTAL 195.00 <br /> (952)492-2440 <br /> OWNER <br /> SCHMID,KURT&CAROL <br /> 2950 ISLAND VIEW DRIVE <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sh�ll 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 sepazate <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 within 180 days of the date of issuance,or if construction is <br /> suspend or a p iod of 180 d s at any time after work has commenced. <br /> The a li ant is spons le r suring all required inspections are <br /> requ te in co orm e t the State Building Code.This permit may be <br /> rev at an ime fo d use. <br /> / / / / <br /> A p i e ee ign ture Date Issue y S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />