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CITY OF ORONO * z H 1 2 - 0 0 1 5 7 * <br /> . 2750 KELLEY PARKWAY nATE issuEn: 02/27/2012 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 LEAF ST <br /> PIN : OS-117-23-11-0014 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 3 <br /> : LOT 1 BLOCK 3 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 TUB,2 SILLCOCKS,2 FLOOR DRAINS <br /> 1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER <br /> 2ND FLOOR:3 WC,5 LAV,2 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 28000 <br /> APPLICANT PLUMBING FIXTURE FEE 350.00 <br /> STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 14.00 <br /> 112 E STH ST <br /> SUITE 101 MAIL-IN FEE 2.00 <br /> CHASKA,MN 55318 MISC FEE 0.00 <br /> (952)361-0128 TOTAL 366.00 <br /> OWNER <br /> KAPSNER,JASON&JULIE <br /> 760 DICKEY LAKE ROAD <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 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `�'K.G¢-c-� Lrl- / / / / <br /> Applicant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />