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CITY OF ORONO PERMIT NO.: 2009-00516 <br /> ` 2750 KELLEY PARKWAY <br /> ORONO, MN 5535C- DATE ISSUED: 08/24/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 625 DEBORAH DR <br /> PIN : 31-118-23-23-0003 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULT[PLE <br /> NOTE: 4-WATF.,R C[_OSE"1',6-LAVATORY, I-BATHTUB, 1-SHOWER, 1-LAUNDKY"I'RAY, 1-WASHER, 1-WE"I'BAR <br /> VALUATION OF PLUMBING 14000 <br /> APPLICANT PLUMBING FIXTURE FEE 175.00 <br /> SUNDERLAND PLBG INC STATE SURCHARGE PLBG(VALUATION) 7.00 <br /> 24380 RIVER BANK LANE <br /> ISANTI, MN 55040- TOTAL 182.00 <br /> (763)753-2845 <br /> OWNER <br /> ARNESON, RANDY&CHRISTINA <br /> 625 DEBORAH DR <br /> MAPLE PLAIN, MN 55359 <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 separate <br /> permits. All provisions of laws and ordinances governing this rype 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 1 AO days at any time after work has commenced. <br /> The appiicant is responsible for assuring all required inspections are <br /> reques[ed in conf nce with the S e Building Code.This permit may be <br /> revoked at an ime r au . //� <br /> �� �iZ<( i �( �C t ��'1� �� , �_`'��/ <br /> Ap icant Permitee Signature Date Issued B Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />