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CITY OF ORONO * z 0 1 5 - PJ 1 1 5 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1340 FOX ST <br /> PIN : 02-117-23-31-0056 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT MB BLOCK 14 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RES[DENT[AL <br /> COIVSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,7 LAVATORY,3 BATHTUBS,2 SHOWERS, 1 KITCHEN SINK, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR <br /> DRA[N <br /> 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 25000 <br /> APPL[CANT PLUMBING F[XTURE FEE 312.50 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 12.50 <br /> LAKELAND PLUMBING TOTAL 325.00 <br /> 27185 BAYSHOIRE CIRCLE NW <br /> ISANTI, MN 55040- Payment(s) <br /> (763)753-0092 <br /> CHECK 8815 325.00 <br /> Minnesota State License#: plbg-PC644669 <br /> OWIVER <br /> Chamberlain Capital LLC <br /> 11578 CHAMBERLAIN COURT <br /> EDEN PRAIRIE,MN 55344- <br /> AGREEMENT AND SWORN STATEMEIYT <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 construc[ion 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 at�er work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with th State Building Code.This permit may be �� <br /> revoked at any time due c �� <br /> / <br /> �� ,. - 0 � / \--�� � � lS <br /> � � i � i <br /> Applicant Permitee �gnature � Date Issued By Signature Date <br />