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t�� + CITY OF ORONO PERMIT NO.: 2oos-oo3so <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 10/30/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2745 SHADYWOOD RD <br /> PIN : 21-117-23-31-0003 <br /> LEGAL DESC : REG.LAND SURVEY NO.0500 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> MULTIPLE PLUMBING FIXTURES: (5)WATER CLOSET,(6)LAVATORIES,(1)BATHTUB,(2)SHOWERS, <br /> (1)KITCHEN SINK,(1)DISHWASHER,(3)SILLCOCKS,(2)FLOOR DRAINS,(1)LALJNDRY TRAY, <br /> (1)WASHER,(1)WATER HEATER,(1)WET BAR AND(1)UTILITY SINK. <br /> VALUATION OF PLUMBING 10000 <br /> APPLICANT PLUMBING FIXTURE FEE 125.00 <br /> JOHN MYERS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 10090 75TH ST N TOTAL 130.00 <br /> STILLWATER,MN 55082- <br /> (612)723-6930 <br /> OWNER <br /> ZIMMERMAN,JAMES <br /> 2745 SHADYWOOD 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 aze <br /> requested' conformance with the State Building Code.This permit may be <br /> revoked at y time for due cause. <br /> D / 3c) l �� !O/ 3v/ 4 � <br /> App' ant P ignature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />