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7 • <br /> CITY OF ORONO PERMIT NO.: 2010-00531 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUED: 06/28/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 160 HERITAGE LA <br /> PIN : 10-117-23-13-0003 <br /> LEGAL DESC : FOXHILL <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: 1 BATH TUB ON 1ST FLOOR <br /> VALUATION OF PLUMBING 900 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> 7120 71ST AVE.N. TOTAL 50.50 <br /> PO BOX 205 <br /> LORETTO, MN 55357- PAID WITH CC# 9327 <br /> (612)750-0278 <br /> Minnesota State License#: 065381 PM <br /> OWI�ER <br /> MITHUN, RAYMOND& SARAH <br /> 1160 HERITAGE LA <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 thc <br /> State Building Code. This permit is for only thc work described and does <br /> not grant permission for additional or rela[ed 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 responsibie 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 /> � �G�- / / <br /> / / <br /> Applicant e mitee ignature Date Issued By Si n ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />