Laserfiche WebLink
� <br /> � , <br /> CITY OF ORONO * 2 0 1 5 — 0 1 2 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 60 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0020 <br /> LEGAL DESC : REG.LAND SURVEY NO.0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORY, 1 BATHTUB, 1 SHOWER <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> STATE SURCHARGE PLBG(VALUATION) 3.00 <br /> MANATEE PLUMBING TOTAL 78.00 <br /> 11525 199TH CIRCLE Payment(s) <br /> SILVER LAKE,MN 55381- CHECK 8889 78.00 <br /> (612)756-1172 <br /> Minnesota State License#:plbg-005923PM,mech-MB005101 <br /> OWNER <br /> HARTMAN,TODD&AMY <br /> 60 MYRTLEWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the " <br /> State Building Code. 1'his permit is for only the work described and does <br /> not gant 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 pennit 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 n <br /> requested in conformance with the State Building Code.This permit may be //� <br /> revoked at any time for due cause. �� <br /> . <br /> � t--�3 �"� � �� l� ���' � <br /> I �-� � , � <br /> Applicant Permitee Signature Date Issued By Signature� Date <br />