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" CITY OF ORONO PERMIT NO.: 2010-00322 <br /> 2750 KELLEY PARKWAY <br /> � ' ORONO, MN 55356- DATE�ssuEn: 05/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2060 SPATES AVE <br /> PIN : 10-117-23-31-0096 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: SEWER EJECTOR ONLY-OK'D BY LYLE <br /> VALUATION OF PLUMBING 8000 <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> COPPIN WATER& SEWER STATE SURCHARGE PLBG (VALUATION) 4.00 <br /> 864 QUAIL PKWY <br /> WATERTOWN, MN 55388- TOTAL 104.00 <br /> OWNER <br /> HANSON, MATTHEW&JAMIE <br /> 2060 SPATES AVE <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 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 governing this type of work <br /> shall be compied with 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 alter 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. /_ <br /> �� _ 7_�G� <br /> ���, [,r'1�ww» � � � � ��� � ��'� � �����.l:�y'� � � � <br /> Applicant Permit Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />