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CITY OF ORONOli I I I I I I <br /> * <br /> 2750 KELLEY PARKWAY * 20 1 8 - 0 0 3 4 5 <br /> DATE ISSUED: 03/23/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 650 MINNETONKA HGLD LA <br /> PIN : 06-117-23-44-0003 <br /> LEGAL DESC : MINNETONKA HIGHLANDS ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(4)LAVATORIES,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER <br /> VALUATION OF PLUMBING 13162 <br /> APPLICANT PLUMBING FIXTURE FEE 164.53 <br /> SABRE PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 6.58 <br /> 15535 MEDINA ROAD MAIL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447- TOTAL 173.11 <br /> (763)473-2267 Payment(s) <br /> Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 173.11 <br /> OWNER <br /> BERG,JOHN&SHARON <br /> 650 MINNETONKA HGLD LA <br /> LONG LAKE,MN 55356- <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. '' 11 <br /> Applicant Permitee Signature Date Issued By Si ture Date <br />