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CITY OF ORONO PERMIT NO.: Zoiaoo6a3 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEu: 07/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1435 CHERRY PL <br /> PIN : 08-117-23-33-0023 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 004 BLOCK 005 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)SILLCOOCKS,(1)WASHER,(1)WATER HEATER,(l)WATER SOFTENER,(l)MISCELLANEOUS FIXTURE <br /> APPLICANT PLUMB[NG FIXTURE FEE(<$500) 15.00 <br /> REIGEL, DAVID STATE SURCHARGE PLBG(<$500) 5.00 <br /> 1435 CHERRY PL <br /> MOUND, MN 55364- TOTAL 20.00 <br /> PAID WITH CC# 9063 <br /> OWNER <br /> REIGEL,DAVID <br /> 1435 CHERRY PL <br /> MOIJND,MN 55364- <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 perniission for additional or related work which requires separate <br /> permits. All provisions oY 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> '7 � 3D� aota ' <br /> ��—�- .��-- �� /c� <br /> Applicant Perinitee Signature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />