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CITY OF ORONO PERMIT NO.: 2010-00017 <br /> 2750 KELLEY PARKWAY <br /> ' ' ORONO, MN 55356- �ATE IssuEu: OU15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1978 SHADYWOOD RD <br /> PI N : 17-1 17-23-24-0026 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCEN SINK, 1 DISPOSAL, <br /> 1 DISHWASHER,2 SILLCOCKS, 1 SEWER EJECTOR, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER <br /> VALUATION OF PLUMBING 7550 <br /> APPLICANT PLUMBING FIXTURE FEE 94.38 <br /> WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 3.78 <br /> 6501 COLJNTY RD 15 <br /> MOUND, MN 55364 TOTAL 98.16 <br /> (952)472-4966 <br /> OWNER <br /> PETERS, BRIAN <br /> 1978 SHADYWOOD ROAD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonncd according to <br /> the approved plans and specitications,applicable City approvals,and the <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 govcrning this type of work <br /> shall be compied wi[h 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 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. j�'�%" ( -- � <br /> � � � �,; � �_ l�(. <br /> ��-��YI c�t„ti�,.,-� J / l S l ?C� '� , � ' i_ i l'f 17C%l�� l � l <br /> Applicant Permitee Signature Date Issued By Sign ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />