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� � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 8 — 0 0 2 9 3 * <br /> DATE ISSUED: 03/14/2018 <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: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB <br /> VALUATION OF PLUMBING 2632 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> SABRE PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 132 <br /> 15535 MEDINA ROAD MAIL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447- TOTAL 53.32 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 7691 53.32 <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 does <br /> not grant permission for additional or related work which requires sepazate <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.'I'his permit may be <br /> revoked at any time for due cause. <br /> . <br /> �—zc ,l � 18� <br /> Applicant Permitee Signature Date Issued ignature Date <br />