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CITY OF ORONO PERMIT NO.: 2010-00190 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE Iss[1En: 04/06/2010 <br /> + 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2725 PHEASANT RD <br /> PIN : 21-117-23-23-0024 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> � �--__ <br /> CONSTRUCTION TYPE : FIXTURE � ` � \� <br /> NOTL: 1 LAVATORY <br /> VALUATION OF PLUMBING 1400 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> TLC PLUMB[NG LLC STATE SURCHARGE PLBG(VALUATION) 0.70 <br /> 14780 HALLMARK DR TOTAL 50.70 <br /> APPLE VALLEY, MN 55124 <br /> (612)450-1841 <br /> OWNER <br /> SEIFERT, THOMAS& DARYL <br /> 2725 PHEASANT RD <br /> EXCELSIOR, MN 55331 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which ihis 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 separate <br /> permits. Ail 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 afler work has commenced. <br /> 'I�he applicant is responsiblc for assuring all required inspections are <br /> requested in conformance with the State Building Code.This perniit may be <br /> revoked at [ime for due cause. , �� - (r� . / ��, <br /> �� �— � <br /> Applicant Pe�it�Sig�at� �Date � � -�� � ���� �� �� � � � � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />