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CITY OF ORONO PERMIT NO.: 2010-00283 <br /> '' 2750 KELLEY PARKWAY <br /> Y <br /> ORONO, MN 55356- �ATE IssuEn: 04/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2525 DUNWOODY AVE <br /> PIN : 20-117-23-22-0018 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 009 BLOCK 008 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NOTE: 2NU FLOOR: I WC. 1 LAV, 1 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 4433 <br /> APPLICANT PLUMBING FIXTURE FEE 55.41 <br /> NOWTHEN PLUMBING STATE SURCHARGE PLBG (VALUATION) 2.22 <br /> 19960 FERRET ST. <br /> ELK RIVER, MN 55330 MAIL-IN FEE 2.00 <br /> (763)753-5216 MISC FEE 0.00 <br /> TOTAL 59.63 <br /> OWNER <br /> PEEL, MICHAEL <br /> 2525 DUNWOODY AVE <br /> WAYZATA, MN 55391 <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[he 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 specitied herein.This permit will <br /> expire and become null and void if consVuction authorized is not <br /> commenced wi[hin l80 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � / / ����•(�-7'� / / <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />