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CITY OF ORONO * Z 0 1 7 — 0 ld 6 5 0 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2017 <br /> ORONO, MN 55356- <br /> ` (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1750 SHADYWOOD RD <br /> PIN : 17-117-23-21-0021 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 016 BLOCK 000 <br /> PERM[T TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,7 LAVATORY,2 BATHTUB,2 SHOWER,2 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,3 SLILLCOCKS, 1 <br /> FLOORS DRA[NS, 1 WASHER, l WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 50000 <br /> APPLICANT PLUMBING FIXTURE FEE 625.00 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 25.00 <br /> STEWART PLUMBING, [NC. MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR TOTAL 652.00 <br /> SUITE#1 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 652.00 <br /> Minnesota State License#: plbg-PC000474,mech-MB003262 <br /> OWNER <br /> SHAW,GRETCHEN&LYLE <br /> 7001 KENESTON DR <br /> EDEN PRAIRIE,MN 55346- <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 afrer 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-�( ( �'l.r, '�- '�L��--�-.� `�`-e.1� f SC�' �c / / `// � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />