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CITY OF ORONO PERMIT NO.: 2012-00063 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 01/31/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 220 WAKEFIELD RD <br /> PIN : 36-118-23-31-0010 <br /> LEGAL DESC : WAKEFIELD FARMS 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER CLOSET,LAVATORY AND SHOWER <br /> VALUATION OF PLUMBING 2100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.05 <br /> 11473 KENYON COURT <br /> BLAINE,MN 55449- MAIL-IN FEE 2.00 <br /> (763)614-7963 TOTAL 53.05 <br /> Minnesota State License#:066807 PM PAID WITH CC# 4012 <br /> OWNER <br /> DAVIS,RICHARD&BETH <br /> 220 WAKEFIELD 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 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 /> revoked at any time for du cause. / <br /> Applicant PermiteeTignature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />