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HHHUIEFEM <br /> CITY OF ORONO * 2013 - 00064 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 990 NORTH SHORE DR W <br /> PIN 07-117-23-22-0018 <br /> LEGAL DESC ENGLUND THIRD ADDITION <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 5 WATER CLOSETS,8 LAVATORY,3 BATHTUB,4 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,4 SILLCOCKS, <br /> 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER <br /> VALUATION OF PLUMBING 15500 <br /> APPLICANT PLUMBING FIXTURE FEE 193.75 <br /> NRH PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 7.75 <br /> 6460 153RD LN <br /> RAMSEY,MN 55303- TOTAL 201.50 <br /> (612)245-7280 PAID WITH CC# 8476 <br /> Minnesota State License#:067436 PM <br /> OWNER <br /> WILSEY,JASON <br /> 8151 33RD AVE S <br /> #206 <br /> BLOOMINGTON,MN 55425- <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 respon ible for assuring all req red inspections are <br /> requested in conform cc with the Stat u' g Code.This permit may be <br /> revoked at any time f due cause. <br /> /� �Y/ /-3- <br /> Appli nt PermKee Signatur Date � C �� �� / ~`� <br /> Issued By Sig ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />