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CITY OF ORONO PERMIT NO.: 20��-000�0 <br /> � 27_50 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE �ssuEn: 02�03�2011 <br /> ��� (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1 14 CHEVY CHASE DR <br /> PI N : 36-1 18-23-4 I-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 : F[XTURES- MULTIPLE <br /> NO'1�1-;: 15�1�I��LOOR: I 1�'C. 1 LAV <br /> 2ND FLOOR: 1 WC. 1 LAV. I 1�UB <br /> VALUATION OF PLUMBING 2200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> GRUPA MECHANICAL CONTRACTORS INC. STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> 12180 197TH COURT NW <br /> ELK RIVER, MN 5�330 TOTAL 55.00 <br /> (763)441-5360 PAID W[TH CC# 5918 <br /> Minnesota State License#: 0�9138PM <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 1 14 CHEVY CHASE DR <br /> WAYZATA, MN �5391- <br /> AGREEMENT ANU SWORN STATEMENT <br /> �fhc w�urk�br�chich this pcnnit i,i„ucd sh�ill bc perfurmcd according to <br /> thc approvcd plans nnd�pcci�ications.applicablc Cil}'approvals,and the <br /> State[3uilding Codc. "I�his permit is f��r onll'thc work dcscribcd and docs <br /> not arant permission for additional or rclatcd�vork��°hich rcquires scparatc <br /> permits. nll provisions of la���s and ordinanccs govcrnine this typc of work <br /> shall be compied�vith�chether or not specified herein.This pennit will <br /> expire and become null and void it�construction authorized is not <br /> commenccd�cithin 180 da��s of Uie date of issuance,or if construction is <br /> suspended for a period of 180 da��s at any time after work has commenced. <br /> The applicait is � onsible fo a ring all requircd inspections are <br /> reque i � nfo � ce���i ie State Building Code.This permit may bc <br /> r � e ior d �us . <br /> .� i -3 i�a t! � l <br /> Applicant Pennite .�gnature Date Issued Bv Siet ire Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />