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� . <br /> � CITY OF ORONO PERMIT NO.: 2011-01141 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUEn: 09/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 753 BOULDER DR <br /> PIN : 33-118-23-11-0074 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS, <br /> (1 EACH)SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER,SILLCOCK,FLOOR DRAINS,LAUDRY TRAY, <br /> WASHER AND WATER HEATER <br /> VALUATION OF PLUMBING ]0000 <br /> APPLICANT PLUMBING FIXTURE FEE 125.00 <br /> K& S PLUMBtNG LLC STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 9572 KNOX AVE.N. TOTAL 130.00 <br /> BROOKLYN PARK, MN 55444- <br /> (763)425-8760 <br /> Minnesota State License#: 065380-PM <br /> OWNER <br /> O.T. Development,LLC <br /> LLC,O.T. DEVELOPMENT, <br /> 2670 KELLEY PKWY <br /> ORONO, MN 55356- <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 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 goveming 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 appli t is responsible for assuring all required inspections are <br /> request in onforman e with e State Building Code.This permit may be <br /> rcvo d a ny ti r use. <br /> /� � ��`� ��r � i <br /> Appl� nt er rtee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />