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t � <br /> CITY OF ORONO PERMIT NO.: 2oos-oo36s <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 1U06/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1950 SHORELINE DR <br /> PIN : 10-117-23-42-0012 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> (3)PLUMBING FIXTURES-(1)WATER CLOSET,(1)LAVATORY,(1)LALTNDRY TRAY <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 35.00 <br /> WESTONKA MECHANICAL INC STATE SURCHARGE PLBG (VALUATION) 1.00 <br /> 6501 COUNTY RD 15 TOTAL 36.00 <br /> MOLJND,MN 55364 <br /> (952)472-4966 <br /> Minnesota State License#: 058019-PM <br /> OWNER <br /> CORNEJO,MARIA <br /> 1950 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 au[horized 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 a�time for due cause. <br /> �� r _1 <br /> )C.`,.�' '� /V}yj°`'w- �1 � (P � o�1 /%���o �D <br /> Applicant P rmitee Signature Date Is ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />