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CITY OF ORONO PERMIT NO.: 2011-00878 <br /> 2750 KELLEY PARKWAY <br /> . <br /> ORONO,MN 55356- DATE ISSUEn: 08/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 700 SIXTH AVE N <br /> PIN : 25-118-23-32-0003 <br /> LEGAL DESC : iJNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 PREP SINK <br /> 2ND FLOOR: 1 WC, 1 LAV <br /> VALUATION OF PLUMBING 13978 <br /> APPLICANT PLUMBING FIXTURE FEE 174.73 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 6.99 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 1VIAIL-IN FEE 2.00 <br /> (952)767-1000 MISC FEE 0.00 <br /> TOTAL 183.72 <br /> OWNER <br /> BOLGAR,DANIEL <br /> 700 SIXTH AVE N <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 will <br /> expire and become null and void if consWction 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 /> c_%G���L �if't- l l l l <br /> Applicant Permitee Signature Date Issued By ' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB OVE. <br />