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R • <br /> CITY OF ORONO PERMIT NO.: 2008-00115 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[1En: 08/06/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 575 FERNDALE RD N <br /> PIN : 36-118-23-14-0001 <br /> LEGAL DESC : LJNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> BATHROOM FIXTURES: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER <br /> VALUATION OF PLUMBING 6200 <br /> APPLICANT PLUMBING FIXTURE FEE 77.50 <br /> FRANK MOTZKO PLUMBING STATE SURCHARGE PLBG(VALUATION) 3.10 <br /> 4201 ZARTHAN TOTAL 80.60 <br /> MN 55416- <br /> (952)929-6048 <br /> Minnesota State License#: 058694-PJ <br /> OWNER <br /> DAYTON,JAMES&MEGAN <br /> 575 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this perrnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 separate <br /> permits. All provisions of 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 no[ <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 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�y time for due cause. <br /> `` ���..��� �'� � � a� �� �"�D�� D�' <br /> � <br /> Applicant Permitee Signature Date s ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WO K OTHER THAN DESCRIBED ABOVE. <br />