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� CITY OF ORONO PERMIT NO.: 2011-00090 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 553�6- �ATE iss[1Eu: 02/09/20ll <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1425 BAY RIDGE RD <br /> PIN : 10-I l 7-23-34-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LO"I' 000 BLOCK 000 <br /> � PERMIT TYPE : PLUMBING (>$500) <br /> PRONERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPF, : FIXTURES - MULTIPLE <br /> NOI G: PLUMBING FIX"I IJRI?S: <br /> (1) Wn�I�GR CLOS�T,(3)SI IOWLRS,(1 GAGI) KI"I�CHGN SINK, DISI[WASHGR AND NLOOR DRAIN <br /> VALUATION OF PLUMBING 1539� <br /> APNLICANT PLUMBING FIXTURG FEE 192.44 <br /> JAYCO PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 7.70 <br /> � 10510 HIDDEN VALLEY DR. <br /> � ROGERS, MN 55374 TOTAL 200.14 <br /> (763)295-2709 <br /> � Mi��nesota State License#: 005294PM <br /> OWIVER <br /> WIENS, KOBERT&JULIE <br /> 1425 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork fbr�vhich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buildin�Codc. This permit is for only lhe work described and docs <br /> not grant pennission for additional or rclated work which requires scparate <br /> permits. All provisions of la���s and ordinances governing this rype of work <br /> shall bc compicd��ith���hether or not specificd herein.This permit will <br /> ex��ire and bccome null and void if construction authorized is not <br /> commenccd�vithin 180 days of the date of issuance,or if construction is <br /> suspcnded for a period of 180 days at any time after���ork has commcnecd. <br /> "I�he applicant is responsible lor assuring all requircd inspections are <br /> roquested in conformance with thc State Building Codc.'fhis permit ma��be <br /> revok at any timc fo ic causc. � <br /> ���%/ <br /> Z� P lL , ,�' � �� : � l � <br /> Ap�licanl Per rtee �i natu ate Issu� [3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />