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CITY OF ORONO I�11 1 1 1 I 1 I1 I I I I 1 I I� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/04/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 820 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-43-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (I)WATER CLOSET,(1)LAVATORY,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 2800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.40 <br /> FREES,KEATON&HANS TOTAL 51.40 <br /> 820 OLD CRYSTAL BAY RD S <br /> Payment(s) <br /> WAYZATA,MN 55391- CREDIT CARD 4948 51.40 <br /> OWNER <br /> FREES,KEATON&HANS <br /> 820 OLD CRYSTAL BAY RD S <br /> WAYZATA,MN 55391- <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 /> /�L►�• <br /> Applicant ' itee ignature Date Issue y Signature Date <br />