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CITY OF ORONO PERMIT NO.: 2009-00024 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU27/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2625 NORTH SHORE DR <br /> , <br /> PIN : 09-117-23-42-0003 <br /> LEG�.L DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 1095 <br /> APPLICANT PLUMBING FIXTURE FEE 35.00 <br /> CITY VIEW PLUMBING& HEATING STATE SURCHARGE PLBG (VALUATION) 0.55 <br /> 1880 WAYZATA BLVD W TOTAL 35.55 <br /> P.O. BOX 150 <br /> LONG LAKE, MN 55356 <br /> (952)473-8793 <br /> OWNER <br /> BUTZER,BARTHOLOMEW&EL[ZABETH <br /> 2625 NORTH SHORE DR <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 specitications,applicabie 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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance ith the State Buiiding Code.This permit may be <br /> revoked at any time for e c <br /> `` ��, ,�/ l ��7 � 0 9 .�' (�� ��yy��� � � �� <br /> �i�- i i <br /> _A��'licant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. <br />