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• <br /> �- CITY OF ORONO PERMIT NO.: 2011-00335 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/12/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1125 SPRING HILL RD <br /> PIN : 26-118-23-43-0004 <br /> LEGAL DESC : UNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)LAUNDRY TRAY IN GAREIGE <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 20.00 <br /> LORETTO,MN 55357- PAID WITH CC# 9327 <br /> (612)750-0278 <br /> Minnesota State License#: 065381 PM <br /> OWNER <br /> PIPER,ADDISON&CINDY <br /> 1125 SPRING HILL 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 the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 /> susp d for a period of 180 days at any time after work has commenced. <br /> The p icant is res ,�'ble for assuring all required inspections are <br /> requ s d in n ce with the State Building Code.This permit may be <br /> revo at y t e f r due cause. <br /> �� ( .Z � � ( � ������ � /�Z.� <br /> Ap icant Pe mitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />