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CITY OF ORONO 1111 II11111 Q 11 III 1111 I I II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 315 WOODHILL RD <br /> PIN : 02-117-23-13-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1596 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE EXISTING RPZ SERIAL#141963 WITH NEW RPZ SERIAL#23726 <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 5.00 <br /> HORWITZ INC. MAIL-IN FEE 2.00 <br /> 4401 QUEBEC AVE N <br /> NEW HOPE, MN 55428 TOTAL 22.00 <br /> Payment(s) <br /> CHECK 20419 22.00 <br /> OWNER <br /> MCGUIRE, WILLIAM&NADINE <br /> 315 WOODHILL RD <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 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 timefor due cause. <br /> e n <br /> • <br /> • <br /> Applicant Permitee Signature Date Issued B `:ignature Date <br />