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CITY OF ORONO I* 2 0' '1'' 6 I 0 01 'i 9 z II* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 190 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0009 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 048 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)DISHWASHER,(1)WATER HEATER,(1)WATER <br /> SOFTENER,(1)WET BAR,(1)KITCHEN SINK <br /> VALUATION OF PLUMBING 17625 <br /> APPLICANT PLUMBING FIXTURE FEE 220.31 <br /> STATE SURCHARGE PLBG(VALUATION) 8.81 <br /> B&B PLUMBING TOTAL 229.12 <br /> 25593 109TH ST Payment(s) <br /> ZIMMERMAN,MN 55398- CREDIT CARD 3261 229.12 <br /> (612)239-6149 6 <br /> Minnesota State License#:plbg-675878 <br /> OWNER <br /> BRUNELLO,JOHN <br /> 7513 MAPLEWOOD DRIVE <br /> MAPLE GROVE,MN 55311- <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. <br /> . 1 am— / l //11 <br /> 'cant Permitee Signature Date Issu y Signature Date <br />