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CITY OF ORONO PERm�T No.: zoia000is <br /> ' 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUED: OU1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3225 CARMAN RD <br /> PIN : 20-117-23-14-0009 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE : FIXTURES- MULTIPLE <br /> NOTG: I-LAVATORY, I KITCHEN SINK, 1-DISPOSAL, 1-DISHWASIIER <br /> VALUATION OF PLUMBING 595 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> SOWADA& BARNA PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 0.50 <br /> P.O. BOX 188 <br /> CEDAR, MN 55011- TOTAL 50.50 <br /> (763)444-0292 <br /> OWNER <br /> HOUCK, MR. & MRS. <br /> 3225 CARMAN RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perYormed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is lor only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of�laws and ordinances governing this type ofwork <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 datc of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections arc <br /> requested confonnance with Statc[3uilding Code."1'his permit may be <br /> revoked an ti or due c e. � __ � , � �� <br /> - � / / �_ - - ' <br /> � � L� �_` �l� �C t 4 / / <br /> App i ant Permitee Signature Date Issued [�y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />