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CITY OF ORONO * z 0 1 6 - 0 1�� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2016 <br /> � ORONO, MN 55356- <br /> " (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 125 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0018 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 013 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�I TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACE 2 WATER CLOSETS,3 LAVATORY, 1 SHOWER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> NYBO-PETERSON CO. INC. TOTAL 51.00 <br /> 6606 280TH. STREET Payment(s) <br /> MN 55088- CREDIT CARD 8865 51.00 <br /> (952)461-2749 <br /> Minnesota State License#: BUIL-058650,cont-MN058650 <br /> OWNER <br /> MCCLAHAHAN, ROBERT&KR[STIN <br /> 125 CHEVY CHASE DR <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 govcrning 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 L80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time atter work has commenced. <br /> The applicant is re,sponsible for assuring all required inspections are <br /> requested in c ormance with the State Building Code.This permit may be <br /> revoked at y time r due se. l - ��� <br /> / �I <br /> ,�'� / <br /> /�/(0-'l6 � �� 7 /�-�-,�-`1�� r(,% l � 7 ��i, <br /> icant Per e Signature Date [ssued B Signature Date <br />