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� f CITY OF ORONO PERMIT NO.: 2011-00092 <br /> 2750 KELLEY PARKWAY <br /> ; ORONO, MN 55356- DATE ISSUEn: 02/10/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3017 NORTH SHORE DR <br /> PIN : 09-117-23-32-0002 <br /> LEGAL DESC : CORONADO BEACH LK MTKA <br /> : LOT 000 BLOCK 000 <br /> ' PERMIT TYPE : PLUMBING(>$500) <br /> ; PROPERTY TYPE : RESIDENTIAL <br /> \ CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: l ST FLOOR: 1 WC,2 LAV, 1 TUB, 1 SHOWER <br /> ; VALUATION OF PLiJMBING 12000 <br /> ; <br /> APPLICANT PLUMBING FIXTURE FEE 150.00 <br /> TOM MOTZKO PLUMB&HEAT STATE SURCHARGE PLBG(VALUATION) 6.00 <br /> 5720 W 35 U2 STREET <br /> ST. LOUIS PARK,MN 55416- MISC FEE 0.00 <br /> O TOTAL 156.00 <br /> Minnesota State License#: 058023 PM <br /> OWNER <br /> HIGGINS,JUDY <br /> 3017 NORTH SHORE DR <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 goveming this type of work <br /> shall be compied with whether or not speci£ed 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 /> revo�at any time for due cause. � <br /> � -� �/=2� 'r� ..:�-,� %U l /� ����Y( <br /> / / <br /> App icant Permitee Signatu e Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br /> � <br />