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CITY OF ORONO PERMIT NO.: 2011-01345 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 10/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 743 BRIDGEWATER DR <br /> PIN : 33-118-23-11-0107 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENGR <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 <br /> C1TY VIEW PLUMBING& HEATING STATE SURCHARGE PLBG (<$500) 5.00 <br /> 1880 WAYZATA BLVD W <br /> P.O. BOX 150 MAIL-IN FEE 0.00 <br /> LONG LAKE, MN 55356 MISC FEE 0.00 <br /> (952)473-8793 TOTAL 20.00 <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 lOTH AVE N <br /> FLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> thc 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 /> perm�ts. 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 E3uilding Code.This permit may be <br /> revoJce�,at any time for du cause. <br /> � _ � �� %� i�-�' i� � /Di �,�''i <br /> licant Permitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />