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" CITY OF ORONO PERMTT NO.: 2011-00891 <br /> , 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/18/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2740 KELLY AVE <br /> PIN : 21-117-23-23-0037 <br /> LEGAL DESC : VERN-MAR MANOR <br /> : LOT 012 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 TUB, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WATER HEATER <br /> 1 ST FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMBING 6700 <br /> APPLICANT PLUMBING FIXTURE FEE 83.75 <br /> PH MECHANICAL STATE SURCHARGE PLBG(VALUATION) 3.35 <br /> 5056 SULGROVE RD TOTAL 87.10 <br /> MOIJND,MN 55364- <br /> (612)418-1123 <br /> OWNER <br /> O'MALLEY,PHYLLIS <br /> 2740 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 sepazate <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 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 /> requested in ormance with the State Building Code.This permit may be <br /> revoked a time for due c s . <br /> ` a ��/ / / <br /> App icant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />