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CITY OF ORONO * Z 0 1 5 - 0 0 3 1 3 * <br /> , . 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 790 BROWN RD N <br /> PIN : 34-118-23-11-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(l)KITCHEN SINK,(I) <br /> DISPOSAL,(1)DISHWASHER <br /> (2)SILI_COCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR <br /> VALUATION OF PLUMBING 17894 <br /> APPLICANT PLUMBING FIXTURE FEE 223.68 <br /> STATE SURCHARGE PLBG(VALUATION) 8.95 <br /> SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447- TOTAL 234.63 <br /> (763)473-2267 Payment(s) <br /> CREDIT CARD 9764 234.63 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY, MN 55427- <br /> AGREEMENT AND SWORN STATEME1vT <br /> The work for which[his permi[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 goveming this type of work <br /> shall be compied with whe[her or not specified hereia This permit will <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time afrer 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 /> C�( � �%'`I vYC-�c-�vt-- � l � 8 i/S <br /> Applicant Permitee Signatu Date Issue By Signature Date <br />