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CITY OF ORONO PERMIT NO.: 2009-00152 <br /> 2750 KELLEY PARKWAY <br /> � , ' ORONO, MN 55356- DATE �ssuEn: 04/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1785 CONCORDIA ST <br /> PIN : 17-117-23-22-0016 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOO AK � <br /> : LOT 000 BLOCK 000 , e� � <br /> PERMIT TYPE : PLU ING (>$500) "��� � 'C� �� <br /> PROPERTY TYPE : RESIDENTIAL � � � \\�1� �� <br /> CONSTRUCTION TYPE : FIXTU S-MULTIP �� v_ � G <br /> � <br /> NOTE: 3 WA"1'GR CLOSE�I'S,7 LAVA"I�ORY. 1 BATHTUB,2 S}IOWER, 1 KITCHEN SINK, I DISPOSAL, 1 DISHWASI IER,3 SILLICOCKS, <br /> 1 FLOOR DRAIN, 1 LAUNDRY TRAY, I WASHER. 1 WATER I IGATER, 1 WE"I�13AR <br /> VALUATION OF PLUMB[NG 35000 <br /> Opps, I had entered the wrong permit type <br /> & Construction Type for this permit. <br /> Please replace this permit for the same <br /> permit # 2009-00152. <br /> APPLICANT PLUMBING FIXTURE FEE 437.50 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 17.50 <br /> U025 GEORGE WEBER DR <br /> SUITE#1 TOTAL 455.00 <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> OWNER <br /> DULIN, KEVIN& BARBARA <br /> 1785 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc���urk for���hich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. 'I�his permit is for only the work described and does <br /> not gran[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 thc date of issuance,or if construction is <br /> suspended for a period oY 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 Building Code.This permit may be <br /> revohed�ny time for due cause. ` Q ' � �_/ �.�r <br /> � -� <br /> � /� t ilY � � ���- ` �-��-� i i <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />