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CITY OF ORONO PERMIT NO.: 2010-00574 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE [SSUED: 07/13/2010 <br /> V 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 7/13/2010 <br /> ADDRESS : 3265 CARMAN RD <br /> PIN : 20-117-23-14-0011 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE: 1 WATER CLOSET,2 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 SILCOCKS <br /> VALUATION OF PLUMBING 8000 <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> THOMPSON PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 15001 MINNETONKA IND RD <br /> MINNETONKA, MN 55345 TOTAL 105.00 <br /> (952)933-7717 <br /> OWNER <br /> HECTOR, MARK& BONNIE <br /> 3265 CARMAN RD <br /> EXCELS[OR,MN 55331- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 goveming this type of wo�k <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construc[ion 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 ap li t is responsible for assuring all required inspec[ions are <br /> reques e in c forman with the State Building Code.This permit may be <br /> revok d t any ti e f due cause. <br /> /�.%�� � � � '� � I � �,� ��'Yi�l� � -/� -/ <br /> i i <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />