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e <br /> CITY OF ORONO PERMIT NO.: 2010-00516 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4725 NORTH SHORE DR <br /> PIN : 07-117-23-32-0017 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> LOT 005 BLOCK 005 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: FDCTURES INSTALLED BY ORIGINAL CONTRACTOR-THIS PERMIT IS TO COMPLETE ANY PLUMBING WORK THAT WAS <br /> NOT FINISHED AT THAT TIME. <br /> (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL,(2)DISHWASHERS,(2) <br /> SILLCOCKS,(1)EACH LAUNDRY TRAY,WASHER,WATER HEATER AND WET BAR <br /> VALUATION OF PLUMBING 2000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MANATEE PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> 11525 199TH CIRCLE <br /> MN 55381- <br /> TOTAL 51.00 <br /> (612)756-1172 <br /> Minnesota State License#:005923PM <br /> OWNER <br /> ROEDEL,JOHN <br /> 4725 NORTH SHORE DRIVE <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 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> ed at any time for due ase. <br /> A icant PeriFitee Signature Date Issuetp Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />