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CITY OF ORONO *� _ � 0 � 8 0 * <br /> � �� 2750 KELLEY PARKWAY DATE ISSUED: 08/O8/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 SHADOWOOD DR <br /> PIN : 27-118-23-32-0015 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: lST FLOOR: 1 WC. 1 LAV, 1 KITCHEN SINNK, ] DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMBING 2850 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MASTER PRO PLUMBING STATE SURCHARGE PLBG (VALUATION) 1.43 <br /> 3313 WILDWOOD <br /> PRIOR LAKE, MN 55372- TOTAL 51.43 <br /> (612)290-4654 PAID WITH CC# 9030 <br /> Minnesota State License#: 065584 PM <br /> OWNER <br /> BEST, WILLIAM &TEDDE <br /> 2280 SHADOWOOD DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perTbrmed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 specitied 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 afrer work has commenced. <br /> The applicant is responsible fscesst�ring all required inspections are <br /> requested in conformanc�th Ihe St�ate Building Code.This permit may be <br /> revo at y time due cause. <br /> 'v r--1� ,^ � � � / / <br /> ppli ant Permti�e Signatur�� Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E. <br />