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CITY OF ORONO PERMIT NO.: 2009-00766 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 10/28/2009 <br /> ` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BEDERWOOD DR <br /> PIN : OS-117-23-12-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES -MULTIPLE <br /> NOTE: 4 WA7'ER CLOSET, 5 LAVATORY,2 BATHTUB,2 SHOWER, 1 KITCHEN SINK <br /> 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 FLOOR DRAIN, l LAUNDRY TUB <br /> 1 WASHER, 1 WA"IER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 14935 <br /> APPLICANT PLUMBING F[XTURE FEE 186.69 <br /> HUNTS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 7.47 <br /> 15225 CARROUSEL WAY#1 TOTAL 194.16 <br /> ROSEMOUNT, MN 5506& <br /> (651)322-1130 <br /> Minnesota State License#: 58964 <br /> OWNER <br /> AZAD,ALISHAH <br /> 200 BEDERWOOD DR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 I 80 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 /> requeste conformance wi[h the State Building Code.This permit may be _ ��J <br /> revokejd any time for due ca e. , / ` <br /> � ,� � ' � <br /> f ' — � <br /> '�� "`��� / "�������1 �: � cy� v� �� �������� �i <br /> � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />