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CITY OF ORONO * 2 0 1 5 - 0 1 0 1 9 * <br /> J'' 2750 KELLEY PARKWAY DATE ISSUED: 08/11/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3375 GRAHAM HILL RD <br /> PIN : OS-l17-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION <br /> : LOT l BLOCK 1 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NO"l�l:: PLUMBING FIXTURES: <br /> (6)WA'I'6R CLOSETS.(8)LAVATORIES,(2)I�A"I'I I"I�U[3.(4)SHOWERS.(1)KITCHEN SINK,(3)DISPOSALS.(3)DISHWASHER.(4) <br /> SILLCOCKS.(6)FLOOR DRAINS,(2)LAUNDRY"1'RAYS.(2)WASHGRS.(1)WATER HEATrR.(3)WET[3ARS,(5)MISCELLANEOUS <br /> VALUATION OF PLUMBING 58000 <br /> APPLICANT PLUMBING FIXTURE FEG 725.00 <br /> STATE SURCHARGE PLBG (VALUATION) 29.00 <br /> SCHULTIES PLUMBING TOTAL 754.00 <br /> 1521 94'TH LANE NE <br /> BLAINE, MN 55449 Payment(s) <br /> (65l)786-4007 CHECK 33369 754.00 <br /> Minnesota State License#: plbg-058799PM,mech-MB005379 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DR, STE l01 <br /> MINNETONKA, MN 55343- <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 pemiission for additional or related work which requires scparate <br /> permits. All provisions of]aN�s and ordinances governing this type of work <br /> shall be compicd�+�ith��•hether 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 ssuance,or if construction is <br /> suspended for a period of 18�days at any t e after ti�ork has commenced. <br /> The applicant is responsi�le for assuring I required inspeciions are <br /> requested in conformar�Ce with the St Buii ng Code.This permit may be <br /> revoked�u any time fq�r due cause. � <br /> �—, r <br /> --� <br /> - - /� 5 � SrG � � �/ ��S <br /> Applic���it Permite gnature D te ]ssue Signature Date <br />