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, CITY OF ORONO PERMIT NO.: 2oiaoii2o <br /> �' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: i ll16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2690 PHEASANT RD <br /> PIN : 21-117-23-23-0019 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES INCLUDED: <br /> ( 1 )EACH: BATHTUB,SHOWER AND LAUNDRY TRAY,(2)WATER CLOSETS AND(3)LAVATORIES <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> JANECKY PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 720 PONTIAC PLACE TOTAL 67.50 <br /> MENDOTA HEIGHTS,MN 55120- <br /> (651)365-8680 <br /> OWNER <br /> GETLIN,LARRY&DEBBIE <br /> 2690 PHEASANT RD <br /> EXCELSIOR,MN 55331 <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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> fc � �(P � ( 0 6l l /(P� ld <br /> Applic t Permite Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />