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, CITY OF ORONO * z 0 1 5 - 0 1 z e s * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3928 CHERRY AVE <br /> PIN : 08-117-23-33-0018 <br /> LEGAL DESC : CRYSTAL BAY V[EW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTI01�1 TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW FIXTURES: <br /> 6 WATER CLOSETS,9 LAVATORY,2 BATHTUBS,4 SHOWERS,2 KITCHEN SINKS,4 S[LLCOCKS,4 FLOOR DRAINS, 1 LAUNDRY TRAl <br /> 2 WASHERS, 1 WATER HEATER, 1 WET BAR, 1 MISCELLANEOUS <br /> VALUATION OF PLUMBING 38500 <br /> APPLICANT PLUMBING FIXTURE FEE 481.25 <br /> STATE SURCHARGE PLBG(VALUATION) 19.25 <br /> STEWART PLUMBING, INC. TOTAL 500.50 <br /> 13025 GEORGE WEBER DR Payment(s) <br /> SUITE#1 CHECK 13136 500.50 <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> GUSTAFSON,J&A <br /> 3928 CHERRY ST <br /> MOLIND, MN 55364- <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 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 wnstruction 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 I <br /> requested in confo ance with the Sta� uilding Code.This permit may be � l� � <br /> revoked at any ' e for due cause , <br /> �. � �� � <br /> � <br /> «_-- ������� I ��� 1`�>>l �r � ��� l`_, <br /> Appli�Permite Signature Date Issued By Signature Date <br />