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i CITY OF ORONO <br /> r �K20 16 - 000 17 �K <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU06/2016 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 795 LAKEVIEW PKWY <br /> PIN : 06-117-23-43-0014 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 3 BLOCK 2 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�STRUCT[ON TYPE : FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,7 LAVATOR[ES,2 BATHTUBS,3 SHOWERS, l KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS. <br /> I FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 19160 <br /> APPLICANT PLUMBING FIXTURE FEE 239.50 <br /> STATE SURCHARGE PLBG(VALUATION) 9.58 <br /> SABRE HEATING&AIR COND INC. MAIL-[N FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN 55447- TOTAL 251.08 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#: plbg-PC645349 CREDIT CARD 9764 251.08 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH, MN 55446- <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 /> S[ate 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 /> perrnits. 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 State Building Code.This permit may be <br /> revoked a[any time for due cause. <br /> ; <br /> � <br /> �� ) � ,� � �, ;� � �� , , --- <br /> � ���1 � `' �<_ f � �C� -�:� � � � ` , ��_� <br /> Applicant Permitee S�gnature Date Issued By Signature Date <br />