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_ CITY OF ORONO Will I I1 �I� 1 I I I I I I I I III <br /> `. 2750 KELLEY PARKWAY * Z 0 1 5 - 0 1 1 <br /> DATE ISSUED: 09/09/22 011 <br /> 5 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2095 WEBBER HILLS RD <br /> PIN : 03-117-23-34-0023 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> THARALDSON PLUMBING <br /> 6621 ELLIOT AVE S TOTAL 50.25 <br /> RICHFIELD,MN 55423- Payment(s) <br /> (701)509-9411 CHECK 1641 50.25 <br /> Minnesota State License#:plbg-PC675647 <br /> OWNER <br /> SWEEN,THOMAS&DEVIN <br /> 2095 WEBBER HILLS 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 due cause. <br /> c We411-� ,/s <br /> Applicant Permitee Signature Date Is ed :, Signature Date <br />