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� � CITY OF ORONO PERMIT NO.: 2009-00700 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 10/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SHADYWOOD RD <br /> PIN : 17-117-23-31-0041 <br /> LEGAL DESC : W[LEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(6)LAVATORIES,(4)BATHTUBS,(1)SHOWER, SINK,DISPOSAL, <br /> DISHWASHER,WATER HEATER,AND WET BAR,(2)SILLCOCKS,(3)FLOOR DRAINS,(2)LAUNDRY TRAYS,(2)WASHERS <br /> VALUATION OF PLUMBING 14900 <br /> APPLICANT PLUMBING FIXTURE FEE 186.25 <br /> HUNTS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 7.45 <br /> 15225 CARROUSEL WAY#1 TOTAL 193.70 <br /> ROSEMOLJNT, MN 55068- <br /> (651)322-1130 <br /> Minnesota State License#: 58964 <br /> OW1vER <br /> MARHULA, DAREN <br /> 2100 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issueJ 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. All 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 consVuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applican[is responsible for assuring all requiced inspections are <br /> requeste conformance with the State Building Code.This permit may be <br /> revoke)d any time for due cause. ,_� � <br /> ./ �/ L--'... <br /> �C' �3 / C-'1� �(�l �� l� � <br /> icant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />