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1 I <br /> CITY OF ORONO *!�2 '0 i III I ��_ I�1 911 <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 11/07/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1530 ORCHARD BEACH PL <br /> PIN : 07-117-23-43-0003 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES <br /> (1)WATER CLOSET,(3)LAVATORIES,(I)BATHTUB,(2)SHOWERS <br /> VALUATION OF PLUMBING 8500 <br /> APPLICANT PLUMBING FIXTURE FEE 106.25 <br /> STATE SURCHARGE PLBG(VALUATION) 4.25 <br /> VICTORIA PLUMBING TOTAL 110.50 <br /> 1855 WEST 80TH ST Payment(s) <br /> P.O.BOX 174 CHECK 9118 110.50 <br /> VICTORIA,MN 55386 <br /> (952)443-0034 <br /> Minnesota State License#:PLUM-644463 <br /> OWNER <br /> MCDERMOTT,SEAN&GINA <br /> 1530 ORCHARD BEACH PLACE <br /> MOUND,MN 55364- <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 perio. . :1 day •t any time after work has commenced. <br /> The applicant is res.. sib' or assure•_all required inspections are <br /> requested i cot ,.rma e e Stat. Building Code.This permit may be <br /> re a at y u+e for• e <br /> t 441.1.111."1111, <br /> i Jt- 7 t(( 42&,,,, ., 7 / .. <br /> Applicant Permitee St: ature IIate I By Signature Date <br />