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CITY OF ORONO PERMIT NO.: 2011-00140 <br /> r ' - 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DA'rE tSSU�D: 03/OU2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 735 FERNDALE RD N <br /> PIN : 36-118-23-12-0008 <br /> � LEGAL DESC : JANET ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NO"1'E: 1 S"I�FLOOR:3 W'C.3 LAV, 1 TUB, ] SHOWGR, 1 KITCHGN SINK, 1 LAUNDRY TRAY <br /> VALUATION OF PLUMBING 6990 <br /> APPLICANT PLUMB[NG FIXTURE FEE 87.38 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> 13025 GEORGE WEBER DR <br /> � SUITE#1 MAIL-IN FEE 2:00 <br /> ROGERS, MN 55374 MISC FEE 3.84 <br /> (763)428-1833 TOTAL 98.22 <br /> OWNER <br /> FISH c�. MARY SNYDER, 1RVING <br /> 735 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this permit is issued shall be pertormcd according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> Stale Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work���hich requires separate <br /> permits. All provisions of la�cs and ordinances governinc this type of work <br /> shall be compied�vith���hether or not specitied hcrcin.This permit will <br /> ezpire and becomc null and void if construction authorizcd is not <br /> commenced�vithin 180 days of the date of issuance,or if construclion is <br /> suspended for a period of 180 da�s at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance���ith the State Building Code.This permit may be <br /> revoked at any time for due cau�e. <br /> `�'-vt,Cu� � l i p i i <br /> Applicant Permi�ee Signature Date Issued By Sig ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />