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CITY OF ORONO I* III I 11 3 9 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3060 NORTH SHORE DR <br /> PIN : 09-117-23-32-0017 <br /> LEGAL DESC : REG.LAND SURVEY NO.0717 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSET,(6)LAVATORY,(1)BATHTUB,(4)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(3) <br /> SILLCOCKS,(6)FLOOR DRAINS,(2)LAUNDRY TRAY,(2)WASHER,(1)WATER SOFTENER,(1)WET BAR,(2)MISCELLANEOUS(1 - <br /> PREP, 1 -BUTLER) <br /> VALUATION OF PLUMBING 45000 <br /> APPLICANT PLUMBING FIXTURE FEE 562.50 <br /> STATE SURCHARGE PLBG(VALUATION) 22.50 <br /> D&M MECHANICAL TOTAL 585.00 <br /> 3442 ASHLAND AVE NE <br /> Payment(s) <br /> BUFFALO,MN 55313 CHECK 6741 585.00 <br /> (763)682-1477 <br /> OWNER <br /> SMITH,MICHAEL&VANESSA <br /> 100 SUNRISE COURT <br /> MEDINA,MN 55340- <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 180 days at any time after work has commenced. <br /> The applicant is responsible 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 /> \ le( &Per"- 6.1 T <br /> Aplicant Pe •ee Signature Date Issue/y Signature Date <br />