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� - � CITY OF ORONO * 2 0 1 5 - 0 0 3 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015 <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 /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET <br /> (1)LAVATORY <br /> (1)BATHTUB <br /> (1)LAUNDRY TRAY <br /> (1)WASHER <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> STRONG, STEVE TOTAL 51.00 <br /> 2032 SHADYWOOD RD Payment(s) <br /> WAYZATA,MN 55391- CHECK 6017 51.00 <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 perfortned 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. 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 consWction 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 due cau . <br /> `�C � � S �, �, /5 <br /> Applicant Permitee Sig ature ate Issue y Signature Date <br />