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� � CITY OF ORONO * 2 0 1 4 - 0 Pl 0 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 133 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0022 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT Ol7 BLOCK OOl <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (1)WATER CLOSE'1",(1)LAVA"I'ORY AND(l)LAUNDRY 1RAY <br /> VALUATION OF PLUMBING 4600 <br /> APPLICANT PLUMBING FIXTURE FEE 57.50 <br /> STATE SURCHARGE PLBG (VALUATION) 2.30 <br /> VETSCH PLUMBING SERVICES MAIL-[N FEE 2.00 <br /> 2451 LACHAMAN AVE.N.E. <br /> MN 55376- TOTAL 61.80 <br /> (763)497-9733 Payment(s) <br /> Minnesota State License#: plbg-7375 CREDIT CARD 6536 61.80 <br /> OWNER <br /> OLSON, MR. & MRS. ROBERT <br /> 133 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 specitications,applicable City approvals,and thc <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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> � � l /�l/lG <br /> Applicant rmitee Signature Da [s d By Signature Date <br />