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CITY OF ORONO * Z 0 1 6 - 0 0 0 0 4 * <br /> � � � 2750 KELLEY PARKWAY DATE ISSUED: OU05/20�� <br /> � �,� ORONO, MN 55356- <br /> � °''" ' (952) 249-4600 FAX: (952) 249-4616 - <br /> ADDRESS 12 BRIAR ST <br /> PIN : 10-117-23-31-0075 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 4 WATER CLOSETS,5 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS <br /> 1 FLOOR DRAIN, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER <br /> VALUATION OF PLUMBING 10000 <br /> APPLICANT PLUMBING FIXTURE FEE 125.00 <br /> STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> BEN SCHERER PLUMBING& HVAC INC. TOTAL 130.00 <br /> 4520 85TH STREET SE <br /> DELANO, MN 55328- Payment(s) <br /> (763)972-8137 CREDIT CARD 4343 130.00 <br /> Minnesota State License#:mech-MB003633,p1bg-PC648530 <br /> OWNER <br /> NITZBERG,KEVAN&LAUR[E <br /> 1212 BRIAR ST <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 reia[ed work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 no[ <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 time for due cause. ��y'� <br /> � � � � <br /> � '�`_ ��� ��C � � <br /> � � �`�>�--�1 � � � � � � -�,� 1 +_ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />