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CITY OF ORONO PERMIT NO.: 2009-00125 <br /> ' 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- �ATE ISSUEu: 03/27/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2240 BAYVIEW PL <br /> PIN : 17-117-23-44-0042 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 039 BLOCK 000 <br /> PERMIT TYPE : PLUMB[NG (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NOTE: 1 LAVATORY, 1 SI IOWGR, I FLOOR DRAIN, I LAUNDRY TRAY <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 <br /> DESIGN MATTERS STATE SURCHARGE PLBG (<$500) 0.50 <br /> 945 FOREST ARMS LANE TOTAL I5.50 <br /> MOUND, MN 55364 <br /> (952)270-6434 <br /> Minnesota State License#: 20484102 <br /> OWNER <br /> BRASSINGTON, MICHELLE <br /> 2240 BAYVIEW PL <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali be perfonned 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 permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if con ction authorized is not <br /> commenced within 180 days of the of issuance,or if construction is <br /> suspended for a period of I 80 day any time after work has commenced. <br /> The applicant is responsib�e fo ring all required inspections are <br /> requested in conformance 'tate E3uilding Code.This permit may be <br /> revoked any ti or due �+7 -� ,�-� <br /> � � ��� !� Ci��� � � � _C C C�'F'1C��--� � � �- �� "' C�� I <br /> � / / <br /> Applicant Perm' e ignature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />