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w <br /> y CITY OF ORONO * 2 0 1 8 - 0 0 1 6 2 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/14/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 3020 WATERTOWN RD <br /> PIN 33-118-23-33-0001 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(5)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER <br /> VALUATION OF PLUMBING 13300 <br /> APPLICANT PLUMBING FIXTURE FEE 166.25 <br /> STATE SURCHARGE PLBG(VALUATION) 6.65 <br /> STEWART PLUMBING,INC. <br /> 13025 GEORGE WEBER DR MAIL-IN FEE 2.00 <br /> SUITE#1 TOTAL 174.90 <br /> ROGERS,MN 55374 Payment(s) <br /> (763)428-1833 CREDIT CARD 3122 174.90 <br /> Minnesota State License#:plbg-PC000474,mech-MB003262 <br /> OWNER <br /> HAUGEN,GREG&CYNTHIA <br /> 3020 WATERTOWN RD <br /> LONG LAKE,MN 55356- <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 /> w <br /> Applicant Permitee Signature Date Issued By ature Date <br />