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CITY OF ORONO PERMIT NO.: 2010-00348 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/13/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 5/17/2010 <br /> ADDRESS : 625 FERNDALE RD N <br /> PIN : 36-118-23-11-0021 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1ST FLOOR: 1WC, 1 LAV, 1 TUB, 1 SHOWER,2 KITCHEN SINKS, 1 DISHWASHER, 1 WASHBOX, 1 LAUNDRY SINK <br /> VALUATION OF PLUMBING 7000 <br /> APPLICANT PLUMBING FIXTURE FEE 87.50 <br /> JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 3.50 <br /> 720 PONTIAC PLACE <br /> MENDOTA HEIGHTS,MN 55120- MAIL-IN FEE 2.00 <br /> (651)365-8680 MISC FEE 0.00 <br /> TOTAL 93.00 <br /> PAID WITH CC# 6128 <br /> OWNER <br /> GLAD,CARSON&KAROLIEN <br /> 625 FERNDALE RD N <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 due cause. <br /> t flta.c� L=lk. / l / l <br /> Applicant Permitee Signature Date Issued B ignatur /z Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB* <br /> e E. <br />