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` ` ' CITY OF ORONO PERMIT NO.: 2009-00�0� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 03/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 90 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0012 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> PLUMBING FIXTURES: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER <br /> VALUATION OF PLUMBING 4600 <br /> APPLICANT PLUMBING FIXTURE FEE 57.50 <br /> DIMAR STATE SURCHARGE PLBG(VALUATION) 230 <br /> 18213 HWY 169 TOTAL 59.80 <br /> MILACA,MN 56353- <br /> (320)224-3786 <br /> Minnesota State License#: 69943626 <br /> OWNER <br /> THOMPSON,KEVIN <br /> 90 MYRTLEWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <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 goveming 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ����.�,.,���� 3 � �3 / o� � ,� �-� /3� O <br /> Applicant Permitee Signa re Date Iss ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />