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f <br /> � CITY OF ORONO PERMIT 1Y0.: 2011-00125 <br /> 2750 KELLEY PARKWAY <br /> . <br /> ORONO, MN 55356- �ATE issUEn: 02/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRE�3S : 2256 SHADYWOOD RD <br /> PIN : 17-117-23-43-0125 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: 2 WAT�R CLOSTTS,3 LAVATORIES, 1 BATI ITUB, 1 SHOWER, 1 KITCHEN SINK,2 SILLCOCKS, 1 I,AUNDRY TRAY, 1 WET <br /> BAR <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> � BETZ PLUMBING STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> 22667 NOLAN AVE N <br /> SCANDIA, MN 55073- TOTAL 67.50 <br /> (651)245-2455 <br /> OWNER <br /> BURKE, FORREST&RENEE <br /> 2256 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> "l�he work for���hich this permit is issued shall be�erformed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Codc. This permit is for only the work described and does <br /> not�rant permission for additional or related�vork which requires scparate <br /> permits. All provisions of laws and ordinanees governing this type of work <br /> � �shall bc compied wiUi�vhether or not specified herein.'I'his pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any lime atter work has commenced. <br /> The applicant is responsible tor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be � <br /> rev ai y time for du ause. ���. <br /> � �v� �� ������ �,. �.._ � C,ryy����/`�� ,, � � � �� <br /> i �- i <br /> pp ' an 'ermit . ��nature Date Issued I3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />