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f • <br /> CITY OF ORONO * z 0 1 3 - 0 0 5 6 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 126 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0040 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: ROUGH [N LAUNDRY AND I3ATHROOM FOR PLUMBING <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUATION) 0.38 <br /> 114 THOMAS CIRCLE#106 <br /> MONTICELLO, MN 55362- MAIL-IN FEE 2.00 <br /> (763)314-0877 TOTAL 52.38 <br /> OWNER <br /> WATZ, PATRICK&DAWN <br /> 126 CHEVY CHASE DR <br /> ,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. 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 at any time for due cause. <br /> Cd �� �� , , <br /> Applicant Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />