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f CITY OF ORONO * 2 0 1 6 — 0 1 2 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1240 ARBOR ST <br /> PIN : 10-117-23-31-0099 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(I)DISHWASHER,(2) <br /> SILLCOCKS,(1)FLOOR DRAINS,(1)WASHER,(i)WATER HEATER <br /> VALUATION OF PLUMB[NG 1 I500 <br /> APPLICANT PLUMBING FIXTURE FEE 143.75 <br /> STATE SURCHARGE PLBG(VALUATION) 5.75 <br /> SERVIN PLUMBING&HEATING TOTAL 149.50 <br /> 24752 705TH AVE Payment(s) <br /> DASSEL, MN 55325 CREDIT CARD 4098 149.50 <br /> (320)275-0190 <br /> OWNER <br /> DRUK,TIMOTHY&JULIE <br /> 4308 11 STH STREET SE <br /> DELANO, MN 55328- <br /> AGREEMENT AND SWORIv 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 I3uilding Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances govcrning this type of work <br /> shail be compied with whether or not specified herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the da[e 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 responsibie 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 /> � /� �/D �/-h <br /> Applicant Permitee Signature Date Issued By gnature Date <br />