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CITY OF ORONO * z 0 1 7 - 0 0 4 S 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2017 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3295 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0013 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBiNG <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOf�TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW: 5 WATER CLOSETS,7 LAVATORY, 1 BATHTUB,3 SHOWER, I KITCHEN SINK, 1 DISPOSAL,2 DISHWASHERS,2 <br /> SILCOCKS,2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WASTER SOFTNER, 1 WET BAR <br /> VALUATION OF PLUMBING 28635 <br /> APPLICANT PLUMBING FIXTURE FEE 357.94 <br /> STATE SURCHARGE PLBG(VALUATION) 14.32 <br /> SPRING PLUMBING LLC MA[L-IN FEE 2.00 <br /> 11473 KENYON COURT <br /> BLAINE, MN 55449- TOTAL 374.26 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#: plbg-PC643871 CHECK 10567 374.26 <br /> OWNER <br /> GREG BLASKO& WHITNEY WINDMILLER <br /> 3295 CRYSTAL BAY RD <br /> WAYZATA,MN 55391- <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 1 AO days at any time after work has commenced. <br /> The applicant is responsibie for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. % � <br /> � 1._ �� � rl �_ �._V� <br /> � �� �.�� � �, � I� ,��,� \ !' ��C "�:�L� `-- / L� / � _I <br /> Applicant Permitee Signature Date Issued By Signature Date <br />