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� <br /> .� CITY OF ORONO PERMIT NO.: 2009-00170 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 04/2U2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 FOX ST <br /> PIN : 04-117-23-42-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES -MULT[PLE <br /> NOTE: <br /> PLUMBING FIXTURES INCLUDE: <br /> (4)WATER CLOSETS,(l)ROUGHED IN; (6)LAVA'1'ORIES(1)ROUGHED IN;(2)BATHTUBS,(2)SHOWERS,(1)ROUGHED IN; (1 <br /> EACH)KITCHEN SINK, DISPOSAL, DISHWASHER; (3)SILLCOCKS;91)ELOOR DRAIN,(1)LAUNDRY TRAY(1)ROUGH IN;(1) <br /> WASHER,(1)ROUGHED IN;(1)WET QAR ROUGH IN <br /> VALUATION OF PLUMB[NG 18400 <br /> APPLICANT PLUMBING FIXTURE FEE 230.00 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 9.20 <br /> 13025 GEORGE WEBER DR TOTAL 239.20 <br /> SUITE#I <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> OWNER <br /> WESTLING, TOM <br /> 2640 FOX 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 /> not grant permission for additional or related work which requires separate <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 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 /> ��� Y � �� �� � ������� ���Q <br /> Applicant Permitee Signature Date Issued By. ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />