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CITYOFORONO * 201z - 003z0 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2012 <br /> ORONO,MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2690 RAINEY RD <br /> PIN : 04-117-23-43-0016 <br /> LEGAL DESC : TREES TO BE <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIdN TYPE : FIXTURE <br /> NOTE: 2 FLOOR�RAINS IN GARAGE <br /> VALUATION O�PLUMBING', 400 <br /> APPLICANT pLUMBING FIXTURE FEE 50.00 <br /> MR.ROOTER PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.20 <br /> 5155 E.RIVER ROAD <br /> FRIDLEY,MN 55421- TOTAL 50.20 <br /> �) <br /> Minnesota State License#: 58659PM <br /> OWNER <br /> SMITH,JASON&JODY <br /> 2690 RAINEY 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 8nd specifications,applicable City approvals,and the <br /> State Building Cod� This permit is fOr only the work described and does <br /> not grant percnissiou for additional or related work which requires sepazate <br /> permits. A(1 provisions of laws and otdinances governing this type of work <br /> shall be compied with whether or not Specified herein.This permit will <br /> expire and become aull and void if cqnstruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a peri of 180 days at any time after work has commenced. <br /> The applicant is r nsible for assuring all required inspections are <br /> requested' ance ith the State Building Code.This permit may be <br /> revok at ' e for e ca <br /> / / / / <br /> Ap �cant itoe Signature Date Issued By i ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />