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CITY OF ORONO PERMIT NO.: 2010-00019 <br /> , ` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [SSUED: OU19/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2103 SUGARWOOD DR <br /> P[N : 34-118-23-21-0018 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 004 BLOCK 003 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES -MULT[PLE <br /> NOTG: 6 WAT�R CLOSE7�S.8 LAVATORY. 1 BATH"I'Uf3,4 SHOWER, 1 KI�CI IEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY <br /> TRUB,2 WASHER, 1 MISCGLLANEOUS <br /> VALUATION OF PLUMBING 39500 <br /> APPLICAIVT PLUMBING F[XTURE FEE 493.75 <br /> B& D PLUMBING& HEATING INC. STATE SURCHARGE PLBG(VALUATION) 19.75 <br /> 4145 MACKENZIE CONST <br /> MN 55376- TOTAL 513.50 <br /> �) <br /> OW1vER <br /> WINKEY,TRAVIS&L[SA <br /> 2103 SUGARWOOD DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved pians and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for oniy 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 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforniance with the State Building Code.This permit may be <br /> revoked any tim for due cause. <br /> , <br /> ,�'�� / - iq �lC� <br /> al� � i /�l i 2d/� � ,_�Cr.-C� ����� i i <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />