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c s <br /> CITY OF ORONO * Z �J 1 2 - PJ 1 2 7 5 * <br /> 2750 KELLEY PARKWAY �ATE �SSUE�: 12/31/2012 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1860 FOX ST <br /> PIN : 03-117-23-42-0016 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURGS: <br /> (4)WATER CLOSETS,(6)LAVi1TORIGS,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK.(1)DISPOSAL,(1)DISHWASHER, <br /> (2)SILLCOCKS,(3)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WASIiF,R,(1)w'ATF,R I11?A��GR,AND(I)WET BAR <br /> VALUATION OF PLUMBING 17634 <br /> APPLICANT PLUMBING FIXTURE FEE 220.43 <br /> SABRE HEATING &AIR COND INC. STATE SURCHARGE PLBG (VALUATION) 8.82 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH, MN >5447 TOTAL 229.25 <br /> (763)473-2267 PA[D WITH CC# 1207 <br /> OWNER <br /> OLSON, MICHAEL&JENN[FER <br /> 3924 UPTON AVE S <br /> MINNEAPOLIS, MN 55410- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he���ork for���hich this permit is issued shall be performed accordin;to <br /> the approved plans and specifications,applicable City approvals,and thc <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 separatc <br /> permits. All provisions of laws and ordinances govcrning this typc of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void it�construction authorized is not <br /> commcnced within 180 days of�the date of issuance,or ifconstruction is <br /> suspended for a period of 180 days at any timc attcr work has commenced. <br /> The applicant is responsible for assuring all roquired inspections are <br /> requested in conformance with the Statc 13uilding Code.This permit may be <br /> revoked at any time for due cause. ����� <br /> ��,�.c,G�� ��' �/ / � � �l � /�— <br /> Applicant Permite;e Sign� ure Date Is. ed 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />