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CITY OF ORONO PERMIT NO.: 2011-01413 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISsuED: 1U08/2011 <br /> • 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2010 SHORELINE DR <br /> PIN : 10-117-23-31-0001 <br /> LEGAL DESC : LJNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPAIR FLOOR DRAINS IN BASMENT <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> PIPELINE IND STATE SURCHARGE PLBG VALUATION 3.00 <br /> 2270 CAPP RD � � <br /> SAINT PAUL,MN 5510& TOTAL 78.00 <br /> (651)645-0622 PAID WITH CC# 6308 <br /> OWNER <br /> HUDSON-WINER,MICHELLE <br /> 2010 SHORELINE DR <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 dces <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 in conformance with the State Buildi Code.This permit may be <br /> revoked at any time for due cause <br /> _--�- <br /> l �� � � � �� i i <br /> pplicant Pe ' e Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />