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� , CITY OF ORONO PEUM�T No.: 2011-oo62i <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/12/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1180 HER[TAGE LA <br /> PIN : 10-117-23-13-0002 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULT[PLE <br /> NOTE: PLUMBING FIXTURES: <br /> (2)WA"fER CLOSETS,(2)LAVATORIES,(1)SHOWER,(2)K[TCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER,(1)WASHER <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> MASTER PRO PLUMBING STATE SURCHARGE PLBG(VALUATION) 125 <br /> 3313 WILDWOOD <br /> PRIOR LAKE, MN 55372- TOTAL 5125 <br /> (612)290-4654 PA[D WITH CC# 2821 <br /> Minnesota State License#: 065584 PM <br /> OWNER <br /> ZIEGLER& KELLY RISCHE, DAVID <br /> 1 180 HERITAGE LA <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 E3uilding Code. This permit is for only the work described and does <br /> not grant pem�ission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing[his 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 issu ce,or if construction is <br /> suspended for a period of 180 days at any t e a er work has commenced. <br /> The applicant is responsible for assurin� ll re ired inspec[ions aze <br /> requested� on or� nce � the S e Buii ng Code.This permit may be <br /> revoke at any t e fo e cau e. <br /> � c / ' / �� �1 � �� G <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />