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' CITY OF ORONO PERMIT NO.: 2010-00082 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1785 CONCORDIA ST <br /> PIN : 17-117-23-22-0016 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NO"CE: PLUMBING PIXTURES INCLUDE: <br /> (4)WA"I'GR CI,OSETS <br /> (6)LAVATORIGS <br /> (2)L3ATHTUBS,(2)SI IOWGRS,(2)KITCt IEN SINKS,(2)DISPOSi1LS,(2)DISFIWASFIERS.(2)FI.00R DRAINS <br /> (2)LAUNDRY"I'RAYS,(2)WASHERS <br /> (3)SILLCOCKS <br /> (1)URINAL <br /> VALUATION OF PLUMBING 29750 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 371.88 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 14.88 <br /> 13025 GEORGE WEBER DR TOTAL 386.76 <br /> SUITE#1 <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> OWNER <br /> DULIN, KEVIN & BARBARA <br /> 1785 CONCORD[A ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he wurk for���hich this permit is issucd shall be performed according to <br /> the approved plans and specifications,xpplicable City approvals,and the <br /> State E�uilding 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 work <br /> shall be compied with whether or not specified herein.'rhis 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 Statc[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> �/`� ;,� �- � llv l !Q l l <br /> ppl� icant Permitce Signature Date Issued By � i nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />