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� <br /> �` CITY OF ORONO PERMIT NO.: 20o9-oos�s <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUEu: 12/04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1880 FOX ST <br /> PIN : 03-117-23-42-0015 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURGS: <br /> (6)WATER CLOSETS <br /> (8)LAVATORIES <br /> (4)BA"CHTUBS <br /> (3)SHOWERS <br /> (2)KI"I'CHEN SINKS <br /> (2)SILLCOCKS AND(2)WASHGRS <br /> (1)EACH: DISPOSAL,DISHWASHER, WE"I'BAR <br /> VALUATION OF PLUMBING 15850 <br /> APPLICANT PLUMBING FIXTURE FEE 198.13 <br /> GENZ-RYAN PLUMBING& HEAT STATE SURCHARGE PLBG (VALUATION) 7.93 <br /> 2200 HIGHWAY 13 TOTAL 206.06 <br /> BURNSVILLE, MN 55337 <br /> (952)767-1000 <br /> OWNER <br /> BLUM, STEVEN& DEBORAH <br /> 1880 FOX STREET <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work Cor which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvais,and the <br /> State Buiiding 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 construc[ion 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State E3uilding Code.This permit may be <br /> revok at any time for�cause. <br /> � , y , o � ,�- ,� � <br /> p e nt Permitee � ure Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />