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CITY OF ORONO * z 0 1 5 - 0 0 1 8 1 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 114 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0035 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (2)WATER CLOSETS <br /> (3)LAVATORIES <br /> (1)BATHTUB <br /> (2)SHOWERS <br /> (1)SUMP PUMP <br /> (1)WASHER <br /> (1)LAUNDRY TUB <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING F[XTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 1.25 <br /> SAM HENDRICKSON PLBG& HEATING INC MAIL-IN FEE 2.00 <br /> 29901 725TH AVE <br /> DASSEL, MN 55325- TOTAL 53.25 <br /> Minnesota State License#: mech-005006 Payment(s) <br /> CREDIT CARD 7507 53.25 <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> �'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for oniy the work described and does <br /> not grant permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her 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 construction is <br /> suspended for a period of 180 days a[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 /> C�'!�t ��1:�LX�.GC�I C /T�1,�-L �L�A_GC—K.� v' l /v� l �S <br /> Applicant Permitee Signature Date Is�By Signature Date <br />