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CITY OF ORONO PERMIT NO.: 2012-00024 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 01/10/2012 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4550 WOLVERTON PL <br /> PIN : 31-118-23-31-0005 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PREFERRED PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> 6400 HIGH POINT TRAIL <br /> PRIOR LAKE,MN 55372- TOTAL 50.75 <br /> (952)447-5761 PAID WITH CC# 0791 <br /> Minnesota State License#: RL10549229 <br /> OWNER <br /> STEPHENSON,REVIS L <br /> 4550 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359- <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 e. <br /> �ppkic�tit PG rt ' ee Sign r Date � <br /> Issued By Sig ature ��,,� ,,((,, Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE <br />