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CITY OF ORONO PERMIT NO.: 2011-00549 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE IssuEn: 06/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1265 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0010 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�1 TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 LAVATORIES <br /> VALUATION OF PLUMBING 4160 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 52.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE PLBG(VALUATION) 2.08 <br /> 6219 CAMBRIDGE ST <br /> ST. LOU[S PARK,MN 55416- MAIL-IN FEE 2.00 <br /> (952)926-4488 MISC FEE 0.00 <br /> TOTAL 56.08 <br /> OWNER <br /> O'SHAUGHNESSY,ROGER <br /> 1265 BRACKETTS POINT 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 specilications,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 /> pennits. 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 time for due-cause. <br /> `�'�� �- / / � / / <br /> Applicant Permitee Signature Date Issued By ignature � Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />