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CITY OF ORONO II 11 lI111111111 II 1111 11 II <br /> * 204 - 00407 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 364 WESTLAKE ST <br /> PIN : 05-117-23-23-0043 <br /> LEGAL DESC : HILLSIDE PARK <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: BSMT:4 WC,4 LAV,2 TUB,2 SHOWER, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, I WASHER, I WATER HEATER, I <br /> WET BAR, 1 MISC <br /> 1ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER,2 KITCHEN SINK, 1 DISPOSAL,2 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER <br /> VALUATION OF PLUMBING 64473 <br /> APPLICANT PLUMBING FIXTURE FEE 805.91 <br /> STATE SURCHARGE PLBG(VALUATION) 32.24 <br /> SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN 55447 TOTAL 840.15 <br /> (763)473-2267 Payment(s) <br /> CREDIT CARD 0331 840.15 <br /> OWNER <br /> Identisys, Inc. <br /> SHIELDS TRUSTEES,JANELLE K&MICHAEL R <br /> 7630 COMMERCE WAY <br /> EDEN PRAIRIE, MN 55344- <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 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 /> I <br /> Applicant Permitee Signature Date Issued Be.ignature Date <br />