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� ' CITY OF ORONO * z p� 1 8 - � � 1 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2018 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : U50 SHADYWOOD RD <br /> PIN : 17-117-23-21-0021 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 016 BLOCK 000 <br /> PERMIT TYPE : PLUMB[NG <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> RICHARD GRASSIE INC. TOTAL 50.25 <br /> 7600 W.27TH STREET#214 Payment(s) <br /> ST. LOUIS PARK,MN 55426- CHECK 14940 50.25 <br /> (952)920-1200 <br /> Minnesota State License#:plbg-WC643888 <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 construc[ion 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 /> � <br /> -� �- � � � l3 ���' <br /> / L J,. � % .�/�i-'— <br /> ', pplicant Permi ignature Date Issu By Signature Date <br />