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CITY OF ORONO PERMIT NO.: 2009-00247 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/21/2009 <br /> ` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 102 CHEVY CHASE DR <br /> PIN 36-118-23-41-0031 <br /> LEGAL DESC HILL O'WAY MANOR <br /> LOT 026 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER NEW WATER LINE <br /> VALUATION OF PLUMBING 1600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> NYBO-PETERSON CO. INC. <br /> 6606 280TH. STREET STATE SURCHARGE PLBG(VALUATION) 0.80 <br /> MN 55088- TOTAL 50.80 <br /> (952)461-2749 PAID WITH CC# 0089 <br /> Minnesota State License#: 003193PM <br /> OWNER <br /> YOKIEL, SCOTT&JENNIFER <br /> 102 CHEVY CHASE DR <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 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 e cause. <br /> Ap pant Permitee ig e Date Issued Byg ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />