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a <br /> CITY OF ORONO * 2 0 1 3 - 0 0 3 P1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/O1/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1520 BOHNS POINT RD <br /> PIN : 09-117-23-33-0006 <br /> LEGAL DESC : UNPLATTED 09 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (2)WATER HEATER CONNF.C'I'IONS <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE PLBG(VALUATION) 0.38 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 <br /> (952)926-4488 TOTAL 52.38 <br /> OWNER <br /> ABOOD,THOMAS&AMARA <br /> 1520 BOHNS POINT RD <br /> WAYZATA, 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 specifications,applicable City approvals,and [he <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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."I'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuancc,or if consUuction 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 /> � � � �d l � � lQ � l �� <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />