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CITY OF ORONO PERMIT NO.: 2009-00493 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/17/2009 <br /> ` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1981 FAGERNESS POINT RD <br /> PIN : 18-117-23-14-0005 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 4 WATER CLOSET,5 LAVATORY, 1 BATHTUB,3 SHOWER,2 KITCHEN SINK, 1 DISHWASHER, <br /> 2 SILLCOCKS, ] FLOOR DRAIN,2 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 GARAGE SINK <br /> VALUATION OF PLUMBING 9000 <br /> APPLICANT PLUMBING FIXTURE FEE 112.50 <br /> BEN SCHORER PLUMBING& HVAC INC. STATE SURCHARGE PLBG(VALUAT[ON) 4.50 <br /> 4520 85TH STREET SE TOTAL 117.00 <br /> DELANO, MN 55328- <br /> (763)972-8137 <br /> OWNER <br /> WHITTINGTON-GGROENKE, MICHEAL&JULIE <br /> 1981 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIYT <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 Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions oY laws and ordinances governing this type of work <br /> shall be 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 construction is <br /> suspended for a period of 180 days at any time afrer 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 /> re at any time for due cause. ` <br /> � � /7 � G ��C c��� , �S ,-17�7 <br /> A licant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />