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CITY OF ORONO * 2 0 1 6 - 0 1 1 4 7 * <br /> w <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2016 <br /> . ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2040 SPATES AVE <br /> PIN : 10-117-23-31-0090 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW:4 WATER CLOSETS,2 BATHTUBS, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 FLOOR DRAINS, 1 WASHER, I <br /> WATER HEATER <br /> VALUATION OF PLUMBING 24500 <br /> APPLICANT PLUMBING FIXTURE FEE 306.25 <br /> STATE SURCHARGE PLBG(VALUATION) 12.25 <br /> NORTH CENTRAL PLUMBING INC. MAIL-IN FEE 2.00 <br /> 28177 146TH ST NW <br /> ZIMMERMAN,MN 55398- TOTAL 320.50 <br /> (763)856-4832 Payment(s) <br /> Minnesota State License#:plbg-PC644436 CREDIT CARD 7541 320.50 <br /> OWl�1ER <br /> DAMMEN,SUSAN <br /> 2040 SPATES AVE <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 nuil 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 /> ` � r"�•,. <br /> c� 4��.-�� ,� � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />