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` CITY OF ORONO PERMIT NO.: 2009-00776 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1UO2/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : ll 0 CREEK RIDGE PASS <br /> PI N : 03-ll 7-23-12-0015 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: 3 WAT�R CLOSETS,5 LAVATORY,2 BATHTUBS, I SHOWER, 1 KITCHEN SINK, 1 DISYOSAL, 1 DISI�{WASHER. <br /> 4 SILLCOCKS,3 FLOOR DRAINS, 1 SEWER EJEC"I'OR, 1 LAUNDRY TUB, 1 WASHER,IRRIGATION <br /> VALUATION OF PLUMBING 5670 <br /> APPLICANT PLUMBING F[XTURE FEE 70.88 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 2.84 <br /> 3062 RANCHVIEW LN N TOTAL 73.72 <br /> PLYMOUTH, MN 55447 <br /> (763)473-2267 <br /> OWNER <br /> JOHNSON, ANDREW <br /> 4215 TRILLIUM LN E <br /> MOUND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit 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 wi[h whether or not specified herein.This permit will <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced within 180 days of[he date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commcnced. <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 aCan�; ime for d c�use. � ^��` <br /> � %/ � -2 � �'7 <--�; ; �` .� ���� ��> >�-� -� J <br /> �- «�� <br /> � � <br /> flpplicant Permitee Si ture Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />