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' CITY OF ORONO PERMIT NO.: 2011-01315 <br /> - 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/25/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 115 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0013 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO'I'E: llR►NKING SYSTEM <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> WATER DOCTORS STATE SURCHARGE PLBG(<$500) 5.00 <br /> 8�01 CENTRAL AVENUE <br /> SPR[NG LAKE PARK, MN 55432- TOTAL 20.00 <br /> (763)286-6243 PAID WITH CASH 2O.00 <br /> OWNER <br /> PFEIFER,ANDY& MARNIE <br /> 115 CREEK RIDGE PASS <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performed 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 additionai or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall bc 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 cons[ruction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applican[is responsible for assuring all required inspections are <br /> requested in conformance with[he Stat Building Code.This permit may be <br /> revoke�an t e for due use. <br /> � �// �S / -' /�/ / / <br /> Applicant Per te i nature Date Issu By Signature Date <br /> SEP RA E PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />