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� <br /> " CITY OF ORONO * Z 0 1 4 - 0 1 Z 9 7 * <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 1U0�/2014 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2032 SHADYWOOD RD <br /> PIN : 17-117-23-31-0012 <br /> LEGAL DESC : GUST S JOHNSONS ADDN . <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> E <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: MULTIPLE FIXTURES,2 WATER CLOSET,LAV,BATHTUB,SHOWER,KIT SINK <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> STATE SURCHARGE PLBG(VALUATION) 3.00 <br /> SOUTH MECHANICAL CONTRACTORS TOTAL 78.00 <br /> 2]005 LANGFORD AVE <br /> JORDAN,MN 55352 Payment(s) <br /> (952)492-2440 CHECK 21 l 84 78.00 <br /> OWNER <br /> STRONG, STEVE <br /> 2032 SHADYWOOD RD <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 specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission fot additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hereia 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 assurin�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 /> �� � _�r'�. C ( �� `J �L <br /> Applicant Permitee Signature Date Issued By ignature Date <br />