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� CITY OF ORONO PERMIT NO.: 2oos-oo2os <br /> 2750 KELLEY PARKWAY <br /> • ORONO,MN 55356- DATE IssuEn: 09/10/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 585 BROWN RD S <br /> PIN : 03-117-23-31-0003 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOT'E: FIRST FLOOR:4 WC,5 LAV,2 TUBS, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DW,2 SILLCOCKS, 1 LALJNDRY TRAY, 1 <br /> WATER HEATER <br /> BASEMENT: 1 FLOOR DRAIN <br /> VALUATION OF PLUMBING 37400 <br /> APPLICANT pLUMBING FIXTURE FEE 467.50 <br /> CARLSON PLUMBING STATE SURCHARGE PLBG(VALUATION) 18.70 <br /> 3728 EDGERTON ST. <br /> VADNAIS HEIGHTS,MN 55127- MAIL-IN FEE 1.50 <br /> (651)291-7788 TOTAL 487.70 <br /> Minnesota State License#:62270PM <br /> OWNER <br /> CULLITON,JOHN <br /> 6225 E SiJNNYFIELD RD <br /> MINNETRISTA,MN 55364 <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. 1'his permit is for only the work described and dces <br /> not grant pertnission 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.l'his 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 /> rncwC �-�. i / l l <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE. <br />