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CITY OF ORONO PERMIT NO.: 2009-00045 <br /> ` � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 02/10/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2680 SHADYWOOD RD <br /> PIN : 21-117-23-24-0046 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT O15 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER CLOSETS,LAVATORY,BATHTUBS,SHOWERS,KITCHEN SINKS,DISPOSAL,DISHWASHER,SILCOKS,FLOOR <br /> DREIINS,LAUNDRY TRAYS,WATER HEATER,WET BAR,GARAGE DRAIN&STEAM UNIT FOR SHOWER. <br /> VALUATION OF PLUMBING 39995 <br /> APPLICANT PLUMBING FIXTURE FEE 499.94 <br /> WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 20.00 <br /> 6501 COLJNTY RD 15 TOTAL 519.94 <br /> MOUND,MN 55364 <br /> (952)472-4966 <br /> OWNER <br /> SEWALL,BARRY <br /> 2680 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. 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 /> E��� �d.t-tr.i�. � / !o / �� � � C�//��%C!/ <br /> `"�� '-� <br /> �/�� / / <br /> Applicanf Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />