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4 <br /> CITY OF ORONO PERMIT NO.: 2010-00291 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2400 FOX ST <br /> PIN : 04-117-23-41-0011 <br /> LEGAL DESC : MAJESTIC SPRUCE ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMB[NG FIXTUR�S INCLUDED: <br /> (7)WATER CLOSETS,(8)LAVATORIES,(2)BA7'HTUBS,(5)SHOWERS,(3)KITCHEN S[NKS, <br /> (2)DISPOSALS,(3)DISHWASHERS,(5)SILLCOCKS,(9)FLOOR DRAINS,(1)LALINDRY DRAIN, <br /> (2)WASHERS,(1)WATER SOFTENER,(1)WET BAR,(1)SUMP PUMP,AND(I)SPR[NKLER WITH <br /> VACUUM BREAKER <br /> VALUATION OF PLUMBING 30000 <br /> APPLICANT PLUMBING FIXTURE FEE 375.00 <br /> STEWART PLUMBING,INC. STATE SURCHARGE PLBG(VALUATION) 15.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 MA[L-IN FEE 2.00 <br /> ROGERS, MN 55374 TOTAL 392.00 <br /> (763)428-1833 PA[D WITH CC# U29 <br /> OWNER <br /> LINDBLOOM,JULIE <br /> 2690 RAINEY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <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 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 wark 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 at any time for due c� se. <br /> ��.�-c-�-� �' �'�i /v °�i �Or /U <br /> App icant Permitee Signature Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />