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A � <br /> CITY OF ORONO PERMIT NO.: 2009-00698 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 10/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4099 HIGHWOOD RD <br /> PIN : 07-117-23-44-0012 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : PLUMB[NG(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (1)EACH-WATER CLOSET,LAVATORY,SHOWER,PLOOR DRAIN <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 50.00 <br /> III, ALONZO SERAN STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> 4099 HIGHWOOD RD <br /> MOUND, MN 55364- TOTAL 51.50 <br /> OWNER <br /> IIl, ALONZO SERAN <br /> 4099 HIGHWOOD RD <br /> MOUND, MN 55364- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permi[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 l80 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 /> requcsted in conformance with the Sta[e Building Code.This permit may be <br /> revoked at�py-timq for e se. <br /> .- �� <br /> '`�' /� � �" �n" /o� / � Q <br /> pplicant cr �itee g t e Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />