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CITY OF ORONO [* z' '� 'i' 7 �_ 161I 31 I* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2870 GOLDENROD WAY <br /> PIN : 33-118-23-24-0045 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 15 BLOCK 4 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS(6)LAVATORIES(2)BATHTUB(1)SHOWER(1)KITCHEN SINK(1)DISPOSAL(1)DISHWASHER(2) <br /> SILLCOCKS(1)FLOOR DRAINS(1)LAUNDRY TRAY(1)WASHER(1)WATER HEATER <br /> VALUATION OF PLUMBING 16770 <br /> APPLICANT PLUMBING FIXTURE FEE 209.63 <br /> STATE SURCHARGE PLBG(VALUATION) 8.39 <br /> SABRE PLUMBING&HEATING TOTAL 218.02 <br /> 15535 MEDINA ROAD <br /> Payment(s) <br /> PLYMOUTH,MN 55447- <br /> (763)473-2267 CREDIT CARD 7681 218.02 <br /> Minnesota State License#:mech-MB3392,plbg-PC645349 <br /> OWNER <br /> OP5 Orono LLC <br /> 15250 WAYZATA BLVD#101 <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 State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issue; :y Signature Date <br />