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CITY OF ORONO * z 0 1 6 — 0 0 7 z 8 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2016 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1885 CONCORD[A ST <br /> PIIV : 17-117-23-23-0002 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW:6 WATER CLOSETS,7 LAVATORY,2 BATHTUB,4 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,3 <br /> SILLCOCKS, <br /> 5 FLOOR DRAINS, 1 LAUNDRY TRAY,2 WASHERS, 1 WATER HEATER, 1 WET BAR,5 MISCELLANEOUS <br /> VALUATION OF PLUMBING 45785 <br /> APPLICANT PLUMBING FIXTURE FEE 572.31 <br /> STATE SURCHARGE PLBG(VALUATION) 22.89 <br /> STEWART PLUMBING, 1NC. MAIL-IN FEE 2.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 597.20 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 597.20 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> KAISER,BERNARD&CAROLYN <br /> 2855 PROVIDENCE PLACE <br /> INDEPENDENCE, MN 55359- <br /> AGREEMENT AIYD 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 I80 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 /> 1 <br /> %� , ��;a ;�>� ��� �' � � � c -�c_>� � ,� :.� f�F <br /> � � �� �t� l.i c� � ; <br /> Applicant Permitee Signature Date Issued By Signature Dat �� <br />