Laserfiche WebLink
� CITY OF ORONO PERMIT NO.: 2010-00074 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3211 BAYSIDE RD <br /> PIN : OS-1 17-23-41-00 l 8 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : PLUMB[NG (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 0.50 <br /> 3670 DODD ROAD-SUTTE 100 <br /> EAGAN, MN 55123- MAIL-IN FEE 2.00 <br /> O TOTAL 17.50 <br /> Minnesota State License#: 61770PM <br /> OWNER <br /> LUNDELL, JAMES&TRACEY <br /> 3211 BAYSIDE RD <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 specitications,applicable City approvals,and ihe <br /> State Building Code. "l�his permit is for only the work described and does <br /> not grant pennission 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 wi[h whether or not specified herein.This pennit 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 afier 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 /> `1�t�-i-( �-rt. / / / / <br /> Applicant Permitee Signature Date Issued By ig ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />