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y � CITY OF ORONO �c z 0 1 4 — 0 1 3 3 2 * <br /> 2750 KELLEY PARKWAY DATE �SSUE�: 1U13/2014 <br /> ORONO, MN 55356— <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3200 NORTH SHORE DR <br /> PIN : 08-117-23-41-0001 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (1)WATER CLOSET,(3)LAVn'['ORIES,(I)I�ATHTU{3,AND(1)SHOW�R <br /> VALUAT[ON OF PLUMBING 8086 <br /> APPLICANT PLUMB[NG FIXTURE FEE 101.08 <br /> BOB CARPENTER PLBG SERVICES STATE SURCHARGE PLBG (VALUATION) 4.04 <br /> 339 SPRUCE DR E TOTAL 105.12 <br /> ANNANDALE, MN 55302- Payment(s) <br /> Minnesota State License#: plbg-PC644105 CREDIT CARD 3670 105.12 <br /> OWNER <br /> LUND, ROBERT <br /> 3200 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perrormed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pennit 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 180 days at any time after work has commenced. <br /> T'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with[he State Building Code.This permit may bc <br /> revoked at any time for�due cause. <br /> ._� / � <br /> � � � , .. ��/( ��/�f� � i�3 � <br /> Applicant Permitee ignature Date Iss d By Signature Date <br />