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CITY OF ORONO PERMTT NO.: 2oos-0006� <br /> � 2750 KELLEY PARKWAY <br /> , � ' ORONO,MN 55356- DATE ISSUED: 07/2 U2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2118 SHADYWOOD RD <br /> PIN : 17-117-23-42-0016 � <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION OF PLUMBING 26000 <br /> APPLICANT PLUMBING FIXTURE FEE 325.00 <br /> LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 13.00 <br /> 12469 ZINRAN AVE. <br /> SAVAGE,MN 55378 MAIL-IN FEE 1.50 <br /> (952)8947600 TOTAL 339.50 <br /> OWNER <br /> HANSSEN,PAUL&LEANN <br /> 2118 SHADYWOOD 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 and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `J�'I�t-�'`-� �'''L- / / �yri..Gt-� 7 / 2� / O <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. <br />