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CITY OF ORONO * Z 0 1 5 - 0 1 4 Z 5 * <br /> 4 2750 KELLEY PARKWAY DATE ISSUED: 1U04/2015 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4345 NORTH SHORE DR <br /> PII� : 07-117-23-43-0032 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 008 BLOCK 018 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : F[XTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORY, 1 BATHTUB,2 SHOWERS <br /> VALUATION OF PLUMBING 6400 <br /> APPLICANT PLUMBING FIXTURE FEE 80.00 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 3.20 <br /> STEINKRAUS PLUMBTNG [NC. MAIL-IN FEE 2.00 <br /> 112 E STH ST <br /> SUITE 101 TOTAL 85.20 <br /> CHASKA, MN 55318 Payment(s) <br /> (952)361-0128 CREDIT CARD 0298 85.20 <br /> Minnesota State License#: mech-MB003824 <br /> OWNER <br /> DUNN, L[SA&CHARLES <br /> 4345 NORTH SHORE DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORIY STATEMENT <br /> 'l�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 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 /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h the State Building Code.This permit may be <br /> revoked at any[ime for due cause. _ <br /> / �. <br /> �J � (� � I� �-��`'S� � �i �i �� <br /> Applicant Permitee Sig ature Date Issued By Signature Date <br />