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� CITY OF ORONO PERMIT NO.: 2010-01022 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �AT� issuEn: 10/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> AUDRESS : 2515 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0007 <br /> LEGAL DESC : COUNTRYSIDE MANOR <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NO�I�G: 1-WATI;R CLOSG"['. 1 Li1Vn"I'ORY, I SI IOWER 1 WATGR I[EATLR. 1 WET BAR <br /> VALUATION OF PLUMBING 3738 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> B &D PLUMBING& HEAT[NG INC. STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> 4145 MACKENZIE CT NE <br /> ST M[CHAEL, MN 55376- TOTAL 55.00 <br /> (76�)497-2290 <br /> OWNER <br /> KAHLER, CHRIS& DELPHINE <br /> 2515 COLINTRYSIDE DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> "1'he�cork tor which this perniit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and thc <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pc;rmits. All provisions of laws and ordinances governing diis type of work <br /> shall be compied with whether or not spccitied 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 /> suspendcd for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all rcquired inspections are <br /> requested in contormance with the State I3uilding Code.'Chis permit may be <br /> revo� t any time for due cause ; ��i� <br /> , '�' Lt� � i . <br /> C � , <br /> Applican Yermi Signatur��— /Date //�—/ ��� l � C1�� C l'�� � �C � /� <br /> Issued 13y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />