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� CITY OF ORONO * 2 0 1 6 - 0 0 3 5 8 * <br /> �_ 2750 KELLEY PARKWAY DATE ISSUED: 04/l U2016 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 60 SMITH AVE <br /> PIN : 02-117-23-21-0003 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 041 BLOCK 000 <br /> PERMTT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 4 WATER CLOSETS,5 LAVATORY,3 BATHTUB, 1 SHOWER,2 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS,2 <br /> FLOOR DRAINS, <br /> 2 LAUNDRY TRAYS, 1 WASHER, 1 WATER HEATER <br /> VALUATION OF PLUMBING 28250 <br /> APPLICANT PLUMBING FIXTURE FEE 353.13 <br /> STATE SURCHARGE PLBG(VALUATION) 14.13 <br /> GLACIER PLUMBING INC MAIL-IN FEE 2.00 <br /> 680 VALHALLA DR NE <br /> CEDAR,MN 55011- TOTAL 369.26 <br /> (763)413-1883 Payment(s) <br /> Minnesota State License#:plbg-PC643630,mech-MB003957 CREDIT CARD 6703 369.26 <br /> OWNER <br /> MILLER,ROBERT <br /> 60 SMITH AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail 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 governing this rype 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any rime for due cause. n�, <br /> . r— /G�'/ <br /> �� G�.,1 ( �'(I� � � � � 11 � I(� <br /> Applicant Permitee Signature Da� Issued By Signa Date <br />