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CITY OF ORONO * Z 0 1 6 — 0 0 1 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/1U2016 <br /> , + ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 1790 SHADYWOOD RD <br /> PIN : 17-117-23-21-0025 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : PLLTMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOT'E: (2)WATER CLOSET,(4)LAVATORIES,(1)BATHT[JB,(1)SHOWER,(1)KITCHEN SINK <br /> VALUATION OF PLUMBING 8500 <br /> APPLICANT PLUMBING FIXTURE FEE 106.25 <br /> STEWART PLUMBING,INC. <br /> STATE SURCHARGE PLBG(VALUATION) 4.25 <br /> 13025 GEORGE WEBER DR M�1IL-IN FEE 2.00 <br /> SUIT'E#1 TOTAL 112.50 <br /> ROGERS,MN 55374 Payment(s) <br /> (763)42&1833 CREDIT CARD 3122 112.50 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> MATEFFY,JOSH&CAITI <br /> 1790 SHADYWOOD RD <br /> WAYZATA,NIN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be perfocmed 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 herein.This pemiit 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 /> L ���'-E� � <br /> � � /� �/� <br /> Applicant Permitee Signature Date Issued ignature Date � <br />