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CITY OF ORONO PERMIT NO.: 2008-00408 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1U2U2008 <br /> ( � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 HOLLANDER RD <br /> P[N : 25-118-23-44-0015 <br /> LEGAL DESC : HOLLY ACRES 3RD ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: CODE COMPLIANCE-UPGRADE TO CERTIFY PLUMBING. VENTING,TUB, K[TCHEN SINK, LAVATORY. <br /> VALUATION OF PLUMBING 2900 <br /> r <br /> APPLICANT <br /> TIM'S QUALITY PLUMBING PLUMBING FIXTURE FEE 36.25 <br /> 523 CENTRAL AVE/P.O. BOX 29 STATE SURCHARGE PLBG(VALUATION) 1.45 <br /> OSSEO,MN 55369 TOTAL 37.70 <br /> (763)424-3258 <br /> OWNER <br /> HOLLANDER, JOHN <br /> 200 HOLLANDER 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 specitications,applicable City approvals,and the <br /> State E3uilding 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 specificd herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the daYe of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has wmmenced. <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 d cause. �� <br /> - � lc�` l C�'S �. �� l� l��l�-f � / � f Z� � <br /> Ap - nt Permitee ignature Date Issued By Signature Uate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />