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CITY OF ORONO PERMIT NO.: 2009-00305 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/11/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 835 WINDJAMMER LA <br /> PIN : 07-117-23-11-0008 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> MULTIPLE FIXTURES INCLUDE: (4)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(2)SHOWERS, <br /> (2)KITCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER,(3)SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY TRAYS,(2)WASHERS,(1) <br /> WATER HEATER,(1)WET BAR,AND(4)MISCELLANEOUS FIXTURES <br /> VALUATION OF PLUMBING 22000 <br /> APPLICANT PLUMBING FIXTURE FEE 275.00 <br /> SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 11.00 <br /> 1521 94TH LANE NE TOTAL 286.00 <br /> BLAINE,MN 55449 <br /> (651)786-4007 <br /> Minnesota State License#: 003388PM <br /> OWNER <br /> HANSON, SCOTT&JENNIFER <br /> 835 WINDJAMMER LA <br /> MOUND,MN 55364 <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 w' the State Building Code.This permit may be <br /> rev d at any time ft due use. <br /> � 1/ 1D <br /> Applicant P itee �j.nature Date Is d :y ignature Date <br /> •• SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />