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� <br /> ` CITY OF ORONO * 2 0 1 5 — 0 fd 3 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2015 <br /> ORONO, MN 55356- <br /> 52 249-4600 FAX: 952 249-4616 <br /> ADDRESS : ��5 SHADYWOOD RD �s, ��- , cb l �.4��� `'� L� l'"�}�Y� f ��� � <br /> PIN : 21-117-23-24-0009 • <br /> LEGAL DESC : REG. LAND SURVEY NO.0358 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S$fGLE FA�IVIILY —�� �y!��._'�F - ,'; '�� � ; i;-%��_ <br /> , <br /> ACTIVITY : --�Oi-SINGLE FAMILY HOUSES,DETACHED �" <br /> P'� <br /> � <br /> 9 <br /> APPLICANT UMBING FIXTURE FEE 62.50 <br /> TOTAL 62.50 <br /> WATERTOWN PLUMBING ayment(s) <br /> 604 HILLSIDE DRIVE NW EDIT CARD 5973 0002 62.50 <br /> WATERTOWN,MN 55388- <br /> (952)255-8212 <br /> Minnesota State License#: plbg-PC644088 <br /> OWNER <br /> LITTLE,RICHARD&DELORIS <br /> 2775 SHADYWOOD RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMEIYT AND SWO STATEMENT <br /> The work for which this permit is issued s aIl 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 l80 days at any time after work has commenced. <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 due cause. t �, I <br /> �_, <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />