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CITY OF ORONO PERMIT NO.: 2009-00165 <br /> 2750 KELLEY PARKWAY <br /> � <br /> ORONO, MN 55356- DATE ISSUED: 04/17/2009 <br /> � <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1700 FOX ST <br /> PIN : 03-117-23-41-0003 <br /> LEGAL DESC : UNPLATTED 03 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULT[PLE <br /> NOTE: 3 -KITCHEN SINK. 1 DISHWASHER, 1 MISCELLANEOUS <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> HOVDE PLUMBING& HEATING INC STATE SURCHARGE PLBG (VALUATION) 3.00 <br /> 2222 EDGEWOOD AVENUE TOTAL 78.00 <br /> MINNEAPOLIS, MN 55426- <br /> (612)545-8881 PAID WITH CC# 2077 <br /> OWNER <br /> MACMILLAN <br /> 1700 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvais,and thc <br /> State Quilding Code. This permit is for only thc 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 bc compied with whether or not specitied herein.This permi[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 1 0 days at any time after work has commenced. <br /> applicant is responsibl for assuring all required inspections are <br /> reques d in conformance �ith the State Building Code.This permit may be <br /> tevoked t any for du cause. <br /> ' c`��. '� / /� / Ch �' ^ � r � ~G'�� <br /> �� ��C..- �--C C��1 C.e l�7 / l <br /> Applicant Permitee Signature Date Issued By Signa ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />