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� � CITY OF ORONO PERMIT NO.: 2011-00602 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/08/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 325 BROWN RD S <br /> PIN : 03-117-23-24-0011 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: NEW FIXTURES: <br /> (1)WATER CLOSET <br /> (1)LAVATORY <br /> (1)SHOWER <br /> VALUATION OF PLUMBING 4815 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 60.19 <br /> WEST SIDE PLUMBING, INC. STATE SURCHARGE PLBG(VALUAT[ON) 2.41 <br /> 9735 SHADY OAK DRIVE <br /> CHASKA, MN 55318 TOTAL 62.60 <br /> (952)443-2104 <br /> Minnesota State License#: 002983 <br /> OWNER <br /> WILSON, STEVEN& SUSAN <br /> 325 BROWN RD S <br /> CRYSTAL BAY, MN 55323- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specihcations,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 wmmenced. <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 /> � � � �� 1 <br /> Applicant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRiBED ABOVE. <br />