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w <br /> CITY OF ORONO PERMIT NO.: 2010-00490 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4115 WATERTOWN RD <br /> PIN 31-118-23-41-0014 <br /> LEGAL DESC MAPLE PLACE 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,AND(1)SHOWER <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 2.50 <br /> 112 E 5TH ST <br /> SUITE 101 TOTAL 65.00 <br /> CHASKA,MN 55318 <br /> (952)361-0128 <br /> OWNER <br /> DYER,MICHEAL&JILL <br /> 4115 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 <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 for 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 /> rh�d�c i i D <br /> Applicant Permitee Signature Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />