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CITY OF ORONO * Z 0 1 6 - 0 0 0 Z 5 * <br /> ` � 2750 KELLEY PARKWAY DATE ISSUED: OU08/2016 <br /> r ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDR�SS : 1185 FERNDALE RD W <br /> PIN : 02-117-23-43-0025 <br /> LEGAL DESC : REG. LAND SURVEY NO.0397 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�1STRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: ADD&REPLACE PLUMBING FIXTURES: <br /> 2 WATER CLOSETS,4 LAVATORIES, 1 BATHTUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 LAUNDRY TRAY, <br /> 2 WASHERS, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 35000 <br /> APPLICANT PLUMBING F[XTUEZE FEE 437.50 <br /> STATE SURCHARGE PLBG(VALUATION) 17.50 <br /> SILVER TREE PLUMBING MAIL-[N FEE 2.00 <br /> 3185 TERMINAL DR <br /> #200 TOTAL 457.00 <br /> EAGAN, MN 55121- Payment(s) <br /> (651)955-2987 CREDIT CARD 8447 �_ _ - 457.00 <br /> Minnesota State License#: mech-MB005441 <br /> OWNER <br /> WYMAN,JAMES&KATHLYN <br /> 1185 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 l80 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 /> � � <br /> ���; , � �� � �, �� l %__�_�_�-�e �� � -- � <br /> �� �r'1.�._�t I ��� f �����--�: �� - � �� � <br /> Applicant Permitee Signature Date Issued By Signatu`r`e Date <br />