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� � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 4 - 0 1 1 2 4 * <br /> DATE 1SSUED: 10/OU2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 128 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0041 <br /> LEGAL DESC : H1LL O'WAY MANOR <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTG: (1)WnTER COSET,(1)LAVATORY,(1)SHOWER,(1)LAUNDRY TRAY AND(1)WASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 2.00 <br /> BECKENDORF PLBG LLC <br /> 9466 BIRCH LANE TOTAL 52.00 <br /> LAKEVILLE, MN 56150- Payment(s) <br /> CHECK 2743 52.00 <br /> OWNER <br /> NELSON, TODD&JANA <br /> 128 CHEVY CHASE 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 does <br /> not grant pemiission 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 no[ <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 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.'I'his permit may be <br /> revoked at any time for due cause. <br /> � j�j, �.. j � /C� � d / l �, <br /> Applic Permitec Signature Date � I� ed I3y Signature Date <br />