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CITY OF ORONO PERMIT NO.: 2011-01207 <br /> 2750 KELLEY PARKWAY <br /> � 6 ORONO,MN 55356- DATE ISSUED: 10/06/2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 MILLSTON RD <br /> PIN : 10-117-23-14-0015 <br /> LEGAL DESC : MILLSTON <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 ST FLOOR: <br /> 1 WC, 1 LAV,2 KITCHEN SINKS,2 DISPOSALS, 1 DISHWASHER, 1 SILLCOCK,3 FLOOR DRAINS,2 LALJNDRY TRAYS, 1 WASHER, 1 <br /> WATER HEATER <br /> VALUATION OF PLUMBING 17500 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 218.75 <br /> LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 8.75 <br /> 12469 ZINRAN AVE. <br /> SAVAGE,MN 55378 MAIL-IN FEE 2.00 <br /> (952)8947600 MISC FEE 0.00 <br /> TOTAL 229.50 <br /> OWNER <br /> BURWELL,MR.&MRS. RODNEY P <br /> 7901 XERXES AVE S <br /> BLOOMINGTON,MN 55431- <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 /> permiu. 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �_`� V� / / / / <br /> Applicant Permiiee Signature Date <br /> Issued By Sig t re te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T DESCRIBED AB . <br />