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,,, CITY OF ORONO PERMIT NO.: 2008-00206 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE ISSUEn: 09/10/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 142 CHEVY CHASE DR <br /> P1N : 36-118-23-41-0044 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: KITCHEN SINK,DISPOSAL&DISHWASHER- 1 ST FLOOR <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 0.50 <br /> 3670 DODD ROAD-SUITE 100 <br /> EAGAN,MN 55123 MAIL-IN FEE 1.50 <br /> (� TOTAL 17.00 <br /> OWNER <br /> HANNEMAN, JAMES&CHIEMI <br /> 142 CHEVY CHASE DRIVE <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 sepazate <br /> permits. AII 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 requiced inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `�'�t-,°(-t-C �t�. / / �>'K-,�,,,ti, / / <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BOVE. <br />