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^ CITY OF ORONO * Z 0 1 6 - P1 1 2 9 4 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1135 HERITAGE LA <br /> PIN : 10-117-23-13-0021 <br /> LEGAL DESC : FOXHILL <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSETS,(3)LAVATORIES,(2)SHOWERS,(1)LALJNDRY TRAY AND(1)WASHER <br /> VALUATION OF PLUMBING 8000 <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> STATE SURCHARGE PLBG(VALUATION) 4.00 <br /> DIVERSIFIED PLUMBING TOTAL 104.00 <br /> P O BOX 91 Payment(s) <br /> CHASKA,MN 55318- CHECK 5149 104.00 <br /> (763)221-5441 <br /> Minnesota State License#: PLUM-71354924 <br /> OW(YER <br /> MARKUSEN, LOCKIE <br /> 1135 HERITAGE LA <br /> WAYZATA, MN 55391- <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 E3uilding Code. This permit is for only the work described and docs <br /> not grant permission for additional or related��ork which requires separatc <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 /> equested in conformance with the State Building Code.This permit may bc <br /> v �d a a y time fo �ue use. � � <br /> n <br /> � � � � <br /> i '� , �� ��� � � ..e � �o ,�z,�.� <br /> Applicant Perm e Signature Dat Issued y Signature Date <br />