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CITY OF ORONO PERMIT NO.: 2008-00121 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/11/2008 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2285 WEBBER HILLS RD <br /> PIN : 03-117-23-33-0003 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: <br /> BACKFLOW PREVENTER FOR IRRIGATION. <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ROTO ROOTER SERVICES CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 14530 27TH AVE.N. TOTAL 15.50 <br /> MINNEAPOLIS,MN 55447 <br /> (763)519-3907 <br /> Minnesota State License#: 058341-PM <br /> OWNER <br /> PEDERSON,D&K <br /> 2285 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 /> rev d at any time forduecause. s� <br /> C �f'—, a2 L Fs-itc rel // / 2,8 l l <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />