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CITY OF ORONO I I I I 1 1 I I' Ili a <br /> 2750 KELLEY PARKWAY * 2DATE ISSUED: <br /> 0 3 4 8 <br /> D: 03/26/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 765 BOULDER DR <br /> PIN : 33-118-23-11-0134 <br /> LEGAL DESC : STONEBAY <br /> : LOT 1&2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSET,(4)LAVATORY,(1)BATHTUB,(2)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(2)DISHWASHER,(2) <br /> SILLCOCKS,(2)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR,(1)MISCELLANEOUS <br /> VALUATION OF PLUMBING 16000 <br /> APPLICANT PLUMBING FIXTURE FEE 200.00 <br /> SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 8.00 <br /> 1521 94TH LANE NE TOTAL 208.00 <br /> BLAINE,MN 55449 Payment(s) <br /> (651)786-4007 CHECK 34182 208.00 <br /> Minnesota State License#:plbg-PC644177,mech-M13005379 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> HAM LAKE,MN 55304- <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 /> revcze any tim for due cause. �,.---'"- <br /> I ki _ P <br /> Applicant Permitee Signature Date Issue y Signature Date <br />