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� 4 <br /> CITY OF ORONO PERMIT NO.: 2oiaoo2i6 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 04/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1280 LYMAN AVE <br /> PIN : 35-118-23-34-0014 <br /> LEGAL DESC : LYMAN WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: SUMP PUMP <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> FREEDOM MECHANICAL <br /> 11135 HWY. 7 STATE SURCHARGE PLBG(<$500) 0.50 <br /> WATERTOWN,MN 55388 TOTAL 15.50 <br /> (612)363-6198 <br /> Minnesota State License#:004042PM <br /> OWNER <br /> HANSON,HARLAN&MARCIA <br /> 1280 LYMAN AVE <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 does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 confo anc with the Stat uilding Code.This permit may be <br /> revoked at any ' fo cause. / <br /> � yl /�o?l LD �� /o�y. ,`l� <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />