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� 4 <br /> • CITY OF ORONO * 2 0 1 4 - 0 0 3 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/O1/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2655 NORTH SHORE DR <br /> PIN : 09-117-23-42-0001 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 ST FLOOR:2 SILLCOCKS, <br /> 2ND FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, i DISPOSAL, 1 DISHWASHER, 1 FLOOR DRAIN, 1 WASHER, 1 WATER <br /> HEATER <br /> VALUATION OF PLUMBING 9600 <br /> APPLICANT PLUMBING FIXTURE FEE 120.00 <br /> STATE SURCHARGE PLBG(VALUATION) 4.80 <br /> MASTER PRO PLUMBING TOTAL 124.80 <br /> 3313 WILDWOOD Payment(s) <br /> PRIOR LAKE, MN 55372- <br /> (612)290-4654 CREDIT CARD 9030 124.80 <br /> Minnesota State License#: plbg-065584 PM <br /> OWNER <br /> VAN RIEMSDYK,JAMES <br /> 2655 NORTH SHORE DR <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 grac�t 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 i ions aze <br /> requested in conformance with the State Buil ' ode.Thi permit may be <br /> revoked at any time for due cause. <br /> �. � l � � <br /> Applicant P rmitee Signat re Date Issued By i nature Date <br />