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t 1, <br /> CITY OF ORONO * z 0 1 6 - 0 PJ 9 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 525 KEENE AVE <br /> PIN : 02-117-23-31-0027 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK O15 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISPOSAL,(3) <br /> SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR <br /> VALUATION OF PLUMBII�TG 12000 <br /> APPLICANT PLUMBING FIXTURE FEE 150.00 <br /> STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> LARSON PLUMBING INC. TOTAL 156.00 <br /> 3095 162ND LANE NW <br /> ANDOVER, MN 55304 Payment(s) <br /> (763)427-7680 CHECK 30902 156.00 <br /> Minnesota State License#: plbg-0841699 <br /> OWNER <br /> H&J Development Prtnrshp <br /> DETTLOFF,HB&JC <br /> 1001 TWELVE OAKS CENTER DR#10 <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 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 180 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 ate Building Code.This permit may be <br /> revoked at any tim�.fqp � a • <br /> /j <br /> / <br /> ' /r� .6 _ � � � l /L`� � <br /> plicant Permitee Signature Date Issued ignature Date <br />