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_ CITY OF ORONO * 2 0 1 z — 0 0 8 4 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1595 MAPLE PL <br /> PIN : 08-117-23-33-0035 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 013 BLOGK 006 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SII,LCOCKS, <br /> (1 EACH)SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER,FLOOR DRAINS,LAUNDRY TRAY <br /> WASHER AND WATER HEATER <br /> VALUATION OF PLUMBING 10375 <br /> APPLICANT PLUMBING FIXTURE FEE 129.69 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 5.19 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447 TOTAL 134.88 <br /> (763)473-2267 PAID WITH CC# 1207 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST.CLOUD,MN 56303- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 at any time for due cause. <br /> � �� � �� a'�/�-- <br /> Apphcant Permitee Signature Date �� " � � <br /> . Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />