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CITY OF ORONO PERMIT NO.: 2010-00608 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 07/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1125 MILLSTON RD <br /> PIN : 10-117-23-14-0006 <br /> LEGAL DESC : MILLSTON <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 WASHER <br /> 1 ST FLOOR: 1 WC, 1 LAV, 1 TUB, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER <br /> VALUATION OF PLUMBING 6019 <br /> APPLICANT PLUMBING FIXTURE FEE 75.24 <br /> LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 12469 ZINRAN AVE. <br /> SAVAGE, MN 55378 MAIL-IN FEE 2.00 <br /> (952)894-7600 MISC FEE 0.00 <br /> TOTAL 82.24 <br /> OWNER <br /> BURWELL,MR. &MRS. RODNEY P <br /> 7901 XERXES AVE S <br /> M[NNEAPOLIS, MN 55431- <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 datc of issuance,or if consVuction 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 /> `�t�lR.-c.-C L-c� � � �i/'w�—�K l � <br /> Applicant Permitee Signature Date Issued By � nature ` i� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />