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CITY OF ORONO PERMIT NO.: 2008-00451 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE �ssuED: 12/16/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4060 DAHL RD <br /> PIN : 07-117-23-11-0020 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> VALUATION OF PLUMB[NG 18460 <br /> APPLICANT PLUMBING FIXTURE FEE 230.75 <br /> WENZEL- PLYMOUTH PLUMB[NG LLC STATE SURCHARGE PLBG (VALIjATION) 9.23 <br /> 1710 ALEXANDER RD <br /> EAGAN, MN 55121- MAIL-IN FEE 1.50 <br /> (651)452-1565 MISC FEE 0.00 <br /> Minnesota State License#: 061555- pm TOTAL 241.48 <br /> OWNER <br /> NEVE, MR& MRS. JAMES <br /> 4060 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for���hich 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 pemtission for additional or related work which requires separate <br /> permits All provisions of laws and ordinances governin�this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void it�construction authorized is not <br /> commcnced 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 cunformance with the State Building Code.This permit may be <br /> revoked at any time for du�e cause. <br /> \" — �� / / . ��/���� / / <br /> Applicant Nermitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR ED ABOVE. <br />