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. CITY OF ORONO * Z 0 1 2 - 0 0 5 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2012 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1 14 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 : FIXTURE <br /> NOTE: KITCHEN SINK <br /> VALUATION OF PLUMBING 1100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> HILLCOR PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.55 <br /> 53 TERRACE RD NE <br /> ST MICHAEL, MN 55376- TOTAL 50.55 <br /> (763)688-0342 PAID WITH CC# 2293 <br /> Minnesota State License#: PC645327 <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 construc[ion is <br /> suspe d for a period of 180 days at any time after work has commenced. <br /> The pl cant is responsible for assuring all required inspections are <br /> requ ste in conformance with the State Building Code.This permit may be �,�� , <br /> revo ed t any for due cau G"L,�� <br /> ,�/ / <br /> l l '� �� C E' C�yC ('��1 � C�;. .�C /,. <br /> App(icant P rmitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />