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CITY OF ORONO 1 1 11 .11 111 11 111) 11 311111 11 1 <br /> * 20 1 7 - 0 1 1 90 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0010 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (7)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(4)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) <br /> WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 31200 <br /> APPLICANT PLUMBING FIXTURE FEE 390.00 <br /> RIVERSIDE MECHANICAL STATE SURCHARGE PLBG(VALUATION) 15.60 <br /> 12460 ZINRAN AVENUE MAIL-IN FEE 2.00 <br /> SAVAGE,MN 55378- TOTAL 407.60 <br /> (952)894-7600 Payment(s) <br /> Minnesota State License#:plbg-PC644809,mech-MB650157 CHECK 6983 407.60 <br /> OWNER <br /> LITSEY,CAL&CHRISTINE <br /> 490 OLD LONG LAKE RD <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. i <br /> P`-t- � // <br /> Applicant Permitee Signature Date Issued By S' tune Date <br />