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�- � CITY OF ORONO rERMiT�vo.: 2011-00217 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3085 NORTH SHORE DR <br /> PIN : 09-117-23-32-0015 <br /> LEGAL DESC : REG. LAND SURVEY NQ.0670 <br /> : LOT 000 BLOCK 000 <br /> ' PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER CLOSET,LAVATORY,AND SHOWER <br /> VALUATION OF PLUMBING 4136 <br /> APPLICANT PLUMBING FIXTURE FEE 51.70 <br /> WEST SIDE PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 9735 SHADY OAK DRIVE TOTAL 56.70 <br /> CHASKA,MN 55318 <br /> (952)443-2104 <br /> Minnesota State License#: 002983 <br /> OWNER <br /> OLSON,PAUL&MARTHANN <br /> 3085 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 /> permiu. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit wifl <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> i l� i�/� i/3i / <br /> ' a e itee ure Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> i <br />