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CITY OF ORONO PERMIT NO.: 2008-00450 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/16/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2702 WALTERS PORT LA <br /> PIN 21-117-23-23-0039 <br /> LEGAL DESC WALTERS PORT <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE PLUMBING(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURE <br /> NOTE: WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS,MN 55408- MAIL-IN FEE 1.50 <br /> (612)827-4033 TOTAL 17.00 <br /> OWNER <br /> III,ANDREW MCDERMOTT <br /> 2702 WALTERS PORT LA <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 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 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 for due cause. <br /> Applicant Permitee Signature Date <br /> Issued By SQ01ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. <br />