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, CITY OF ORONO PERMIT NO.: 2011-01340 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- nATE ISSUED: 10/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1635 BOHNS POINT RD <br /> PIN : 17-ll 7-23-11-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTENER <br /> 1ST FL:2 WC,3 LAV, 1 TUB, 1 SHOWGR, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, <br /> VALUATION OF PLUMBING 13000 <br /> ��—-_ <br /> APPLICANT PLUMBING FIXTURE FEE 162.50 <br /> PH MECHANICAL STATE SURCHARGE PLBG(VALUAT[ON) 6.50 <br /> 5056 SULGROVE RD TOTAL 169.00 <br /> MOUND,MN 55364- <br /> (612)418-1 l23 <br /> OWNER <br /> KOZLAK, STNICK&JODEE <br /> 1635 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. "Chis permit is for only the work described and does <br /> no[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 specired 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 l 80 days at any time after work has commenced. <br /> The applic �s responsible for assuring all required inspections are <br /> requeste m onformance with the State Building Code.This permit may be <br /> revoke at ny time fo<�cause. <br /> ' %d l 1-?l // ���YCQ�''L l l <br /> Applicant Permitee Signat Date Issued By Si n ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB . <br />