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CITY OF ORONO 11 1 1 II II III IJ I11IIsI II II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/24/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 50 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0006 <br /> LEGAL DESC : REG.LAND SURVEY NO.0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (3)WATER CLOSETS,(3)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)WASHER <br /> VALUATION OF PLUMBING 8000 <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> LIBERTY PLUMBING STATE SURCHARGE PLBG(VALUATION) 4.00 <br /> 925 227TH AVE MAIL-IN FEE 2.00 <br /> BETHEL,MN 55005- TOTAL 106.00 <br /> (763)286-2485 Payment(s) <br /> Minnesota State License#:plbg-PC645700 CREDIT CARD 4131 106.00 <br /> OWNER <br /> HUSKIES LLC,ADAM&KELLY <br /> 50 MYRTLEWOOD RD <br /> WAYZATA,MN 55391- <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 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 after 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 /> (Y14 AA/GA) f ��� 9/ /Y <br /> Applicant Permitee Signature Date Issued B ignature Date <br />