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CITY OF ORONO PERMIT NO.: 2oos-oo1o2 <br /> � 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE ISSUED: 07/3U2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1410 REST POINT RD <br /> PIN : 07-117-23-33-0001 <br /> LEGAL DESC : SUBD REST POINT PARK LAKE MTKA <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS,MN 55408 MAIL-IN FEE 1.50 <br /> (612)827-4033 TOTAL 17.00 <br /> Minnesota State License#:061521-PM <br /> OWNER <br /> BREDESON,ROBERT <br /> 1410 REST POINT RD <br /> MOLJND,MN 55364 <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 Buiiding 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 consVuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> 1'he applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Bui►ding Code.This permit may be <br /> revoked at any time for due c�use. <br /> `'Yln.�i,i,l �r- i i t9")')t.�.r�_ 7 i 3/ i�� <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />