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�. CITY OF ORONO PERMIT NO.: 2009-oo34s <br /> � 2750 KELLEY PARKWAY <br /> + ORONO, MN 55356- DATE IssuEn: 06/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2116 SUGARWOOD DR <br /> PI N : 34-118-23-21-0028 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VACUUM BREAKER <br /> NOTE: VACUUM BREAKER-BACKFLOW PREVENTER FOR IRRIGATION SYSTEM <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> WOODBURY MECHANICAL, INC. STATE SURCHARGE FLAT-OTHER 0.50 <br /> 1988 STANICH CT TOTAL 15.50 <br /> MAPLEWOOD,MN 55109- <br /> OWNER <br /> Sugarwoods Homeowners Association <br /> PIGNTENS, C/O FRANK <br /> 2007 SUGARWOODS DR <br /> LONG LAKE, MN 55356- <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 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 fot a period of 180 days at any time after 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 /> /�� � / �°�� /�;�` / / <br /> �Applicant ermitee Signature Date Issued By gnature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHE THAN DESCRIBE V . <br />