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, CITY OF ORONO * Z 0 1 5 - 0 0 8 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 945 FOREST ARMS LA <br /> PIN : 07-117-23-12-0019 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(Q KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) <br /> S[LLCOCKS,(1)FLOOR DRAIN,(2)LALTNDRY TRAYS,(2)WASHERS,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR <br /> VALUATION OF PLUMBING 18000 <br /> APPLICANT PLUMBING FIXTURE FEE 225.00 <br /> STATE SURCHARGE PLBG(VALUATION) 9.00 <br /> SWANSON PLUMBING INC. TOTAL 234.00 <br /> 16591-351 AVENUE Payment(s) <br /> HAMBURG, MN 55339 CHECK 3008 234.00 <br /> (612)508-9474 <br /> Minnesota State License#: plbg-643453 <br /> OWNER <br /> EATON, BOB&JENNIFER <br /> 2721 COMSTOCK LA N <br /> PLYMOUTH, MN 55447- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this 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 whether or not specified herein.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 180 days at any time after work has commenced. <br /> The applican[is responsible for assuring alI required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ti for due cause. <br /> -� <br /> ����-�� Q -��i�� i � r��J <br /> Applicant mitee gnature Date Is u y Signature Date <br />