2023-00722 (PLBG Permit)City of Monticello
505 Walnut Street, Suite #1,
Monticello, MN 55362
P: 763-295-3060
ADDRESS:4334 86TH ST NE MONTICELLO, MN 55362- Issued: 8/15/2023
PIN:155264002010 Permit #: 2023-00722
LEGAL DESC:EDMONSON RIDGE
LOT 001 BLOCK 002
PERMIT TYPE:PLUMBING
PROPERTY TYPE:SINGLE FAMILY DETACHED
CONSTRUCTION
TYPE:
NEW CONSTRUCTION
NOTE:
APPLICANT
FLUSH ONCE PLUMBING
(763) 248-0824
13429 205TH STREET
MILACA, MN 56353-
OWNER
LSW INVESTMENTS LLC
AGREEMENT AND SWORN STATEMENT
I hereby certify that I have read and examined this application
and know the same is to be true and correct. All provisions of
laws and ordinances governing this type of work will be
complied with whether specified herein or not. The granting of
a permit does not presume to give authority to violate or cancel
the provisions of any other state or local law regulating
construction or the performance of construction.
8/15/2023
Signature of Applicant Date
This permit becomes null and void if construction authorized is
not commenced within 180 days, or if construction is suspended
for a period of 180 days at any time after work is commenced.
PLUMBING FIXTURES 144.00
STATE SURCHARGE, PLBG FIX 1.00
PLUMBING BASE FEE, RESI 50.00
TOTAL $195.00
TOTAL PAID $195.00
DUE $0.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.