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� � CITY OF ORONO * 2 0 1 7 - 0 1 3 z 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 565 SANDHILL DR <br /> PIN : 33-118-23-24-0012 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(3)BATHT[JBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAINS,(1)LAiJNDRY TRAY,(1)WASHER,(1)WATER HEATER <br /> VALUATION OF PLUMBING 16119 <br /> APPLICANT PLUMBING FIXTURE FEE 201.49 <br /> SABRE PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 8.06 <br /> 15535 MEDINA ROAD MAIL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447- TOTAL 211.55 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 7681 211.55 <br /> OWNER <br /> OPS Orono LLC <br /> 15250 WAYZATA BLVD#101 <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 dces <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 hereia This permit will <br /> expire and become null and void if construction suthorized 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 /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conforcnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ' <br /> � <br /> 1�,,�Ce� o e� � 1� , 13 ,17 <br /> Applicant Permitee Signature Date Issued y S ature Date <br />