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, CITY OF ORONO * Z 0 1 6 - 0 1 5 2 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/06/2016 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1729 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0035 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(5)LAVA"I�ORIES,(1)BATHTUB,(2)SHOWERS,(1)K["I'CF{EN SINK,(1)D[SPOSAL,(1)DISHWASHER,(1) <br /> LAUNDRY TRAY <br /> VALUATION OF PLUMBING 13500 <br /> APPLICANT PLUMBING FIXTURE FEE 168.75 <br /> STATE SURCHARGE PLBG(VALUATION) 6.75 <br /> SERVIN PLUMBING&HEATING MAIL-IN FEE 2.00 <br /> 24752 705TH AVE <br /> DASSEL, MN 55325 TOTAL 177.50 <br /> (320)275-0190 Payment(s) <br /> CREDIT CARD 4098 177.50 <br /> OWNER <br /> B[EKER, DAVID <br /> 1729 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIV 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 atter 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 /> i. � �: / ��� ��.t t �`ot-' �C / �f, / ��� <br /> � ' <br /> Applicant Fermitee Signature Date [ssue�gnatu Date <br />