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� � CITY OF ORONO PERMIT NO.: 2011-00736 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2865 LITTLE ORCHARD WAY <br /> PIN : 09-117-23-21-0010 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)WATER HEATER <br /> VALUATION OF PLUMBING 2050 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> TJK PLUMBING INCORPORATED STATE SURCHARGE PLBG(VALUATION) 1.02 <br /> 13570 GROVE DR#284 <br /> MAPLE GROVE,MN 55311- TOTAL 51.02 <br /> (651)216-1318 PAID WITH CC# 1782 <br /> OWNER <br /> HOLMES,MARY <br /> 2865 LITTLE ORCHARD WAY <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 Building Code. This permit is for only the work described and dces <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 consWction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tim r u cause. — <br /> l l vlN ` ( l �7/ <br /> Applicant P ' e Signature Date Issue y S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />