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CITY OF ORONO PERMIT NO.: 2010-01088 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1U05/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3382 BAYSIDE RD 4„c��� <br /> PIN : OS-1 17-23-14-0�(;Gl�� <br /> LEGAL DESC : BAYS[DE ADDN TO LAKE MINNETONK <br /> : LOT 009 BLOCK 005 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> COIVSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (�)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(2)SHOWERS,(2)KITCHEN SINKS,(2)D[SHWASHERS, <br /> (3)S[LLCOCKS,(2)FLOOR DRAINS AND(1)EACH: DISPOSAL,LAUNDRY TRAY,WASHER,WATER HEATER AND WET BAR <br /> VALUATION OF PLUMBING 22350 <br /> APPLICANT PLUMB[NG FIXTURE FEE 279.38 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 11.18 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 290.56 <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> OWNER <br /> HUTHWAITE, MICHAEL&MARILYN <br /> 7715 AINSWORTH DR <br /> GERMANTOWN, TN 38138- <br /> AGREEMENT AND SWORN STATEMENT <br /> fhe work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. 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-ak.�ny time for due cause. <br /> � <br /> �� �� l l /< lV l /D <br /> �Applicant Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />