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CITY OF ORONO PERMIT NO.: 2009-00358 <br /> � 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE IssuEn: 06/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1710 SHADYWOOD RD <br /> PIN : 17-117-23-21-0018 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1ST FLOOR: 1 WC,2 LAV, 1 BATHTUB, 1 SHOWER <br /> VALUATION OF PLUMBING 4300 <br /> APPLICANT PLUMBING FIXTURE FEE 53.75 <br /> WELD& SONS PLUMBING CO INC. STATE SURCHARGE PLBG(VALUATION) 2.15 <br /> 3410 KILMER LANE N TOTAL 55.90 <br /> PLYMOUTH,MN 55441- <br /> (763)475-0296 <br /> Minnesota State License#: 059322-PM <br /> OWNER <br /> FITZPATRICK,JOHN&JOAN <br /> 1710 SHADYWOOD RD <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[he 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 hecein.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 res ible for assuring all required inspections are <br /> reques in o or nce with the State Building Code.This permit may be <br /> rev ed a � e for due cause. <br /> ;, --_�-- 6 � ��' � c�9 � � <br /> ppli ermitee Signature Date Issued Signature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />