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� - ' CITY OF ORONO * 2 0 1 3 - 0 PJ 4 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 6/7/2013 <br /> ADDRESS : 2377 SHADYWOOD RD <br /> PIN : 17-117-23-44-0009 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (2)SIfAMP00 SINKS AND(2)PEDICURE CHAIRS <br /> VALUATION OF PLUMBING 1200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MR. ROOTER PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.60 <br /> 5155 E. RIVER ROAD <br /> FRIDLEY,MN 55421- TOTAL 50.60 <br /> �� PAID WITH CC# 5936 <br /> Minnesota State License#: 58659PM <br /> OWNER <br /> Lake Country Corp Investments <br /> 2377 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> the approved plans and speciftcations,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 governing 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 afrer 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 /> revok at any time for due cause. <br /> � <br /> ��2'i�LG l� �� �3 , `7 / .� <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />