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2023-00354CITY OF MONTICELLO 505 WALNUT STREET * 2 0 Z 3- 0 0 3 5 4 MONTICELLO, MN 55362- DATE ISSUED: 06/01/2023 763) 295-3060 FAX: (763) 295-4404 Permit #: 2023-00354 ADDRESS 3657 REDFORD LN PIN : 155151005110 LEGAL DESC GROVELAND 4TH ADDN LOT 011 BLOCK 005 PERMIT TYPE PLUMBING PROPERTY TYPE SINGLE FAMILY -DETACHED CONSTRUCTION TYPE WATER SOFTENER NOTE: REPLACING WATER SOFTENER NUMBER OF PLUMBING FIXTURES 1.00 APPLICANT PLUMBING BASE FEE, RESI 50.00 PLUMBING FIXTURES 9.00 PAUL BUNYAN PLUMBING LLC 5718 INTERNATIONAL PKWY STATE SURCHARGE, PLBG FIX 1.00 NEW HOPE, MN 55428- TOTAL 60.00 Payment(s) CHECK 48486 60.00 OWNER BOURGEOIS, RAMONA 3657 REDFORD LN MONTICELLO, MN 55362- AGREEMENT AND SWORN STATEMENT I agree that the work will be conducted in conformance with the ordinances of the City of Monticello and with the Minnesota State Building Code. I understand that the work will be in accordance with the plan that has been approved by the Building Official. I agree that any damage caused to public property including but not limited to curb, sidewalk, public utilities and signs will be repaired at my expense. Applicant Date Bldg Official Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF Permit No.2n )— " Monticello Date z©z ?jBUILDINGSAFETY RESIDENTIAL BUILDING PERMIT ADDITION / ALTERATION / REMODEL SITE ADDRESS 3657 Redford Lane Montilcello, MN 55362 LEGAL DESCRIPTION LOT r) ) 1 BLOCK 0 PLAT PI.D. NUMBER OWNER (Name) (Address) (Tel. No.) David Bougeois 3657 Redford Lane 763-318-8107 CONTRACTOR (Name) (Address) (Tel. No.) Paul Bunyan Plumbing LLC 5718 Intemational Pkwy New Hope 55428 612-238-9702 CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) PC643703 PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR X IF APPLICABLE, SPECIFY CONTRACTOR Paul Bunyan Plumbing LLC Lic # PC643703 CHECK ALL THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER LAUNDRY TUB X SOFTENER OTHER TOTAL # OF FIXTURES 1 REMINDER: IF YO U DO NOT O ffW THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED BYA AMSTER PLUMBER.) MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER IF APPLICABLE, SPECIFY CONTRACTOR CHECK ALL THAT APPLY: 11 FURNACE TOTAL # OF FIXTURES DESCRIPTION OF WORK: Bond # CONTRACTOR FAa/CFIREPLACE BATHFAN alp (OLU, U wfCC St)f4e - ESTMATED VALUE OF CONSTRUCTION Approved by Building Official: Ilh Cv G 2800 Date Approved: - r; Applicant Signature A CAM"d, 505 Walnut Street, Suite #1 Monticello, MN 55362 Date 5/18/2023 1 1 n Phone: 763-295-3060 For: 763-29544M% V v