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CITY OF ORONO PERMIT NO.: 2oio-oo309 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE 1ssuEn: 05/06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1935 CONCORDIA ST <br /> PIN : 18-117-23-14-0013 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 012 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTF_,: VACUUM BREAKER <br /> e <br /> APPLICANT PLUMBING F[XTURE FEE(<$500) 15.00 <br /> REGENCY PLUMBING INC. STATE SURCHARGE PLBG (<$500) 0.50 <br /> 3414 LOUISIANA AVENUE N. TOTAL 15.50 <br /> CRYSTAL, MN 55427 <br /> (763)531-1855 <br /> OWNER <br /> SUNHI& STEVEN SCHUSSLER, RYAN <br /> 1935 CONCORDIA ST <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 /> no[grant permission for additional or related work which requires separatc <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 consVuction 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State I3uilding Code.This permit may be <br /> rev e or due cause. <br /> `"��p i �� ���� l l <br /> p icant Perm' e Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />