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. , <br /> CITY OF ORONO PERMIT NO.: 2009-00886 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2545 DUNWOODY AVE <br /> PIN : 20-117-23-21-0030 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT O10 BLOCK 008 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : F[XTURES- MULTIPLE <br /> NOTE: ALL FIXTURES ARE REPLACEMEN'I'ONLY: <br /> (2)WATER CLOSETS AND(2)LAVA'I'ORIES <br /> (1)EACH: BATHTUB,SHOWER,KI'I�CHEN SINK.DISPOSAL,DISHWASIIER AND WA�I�ER SOPTGNGR <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORDL[E, JAMES STATE SURCHARGE PLBG (<$500) 0.50 <br /> 2545 DUNWOODY AVE <br /> WAYZATA, MN 55391- TOTAL 15.50 <br /> OWNER <br /> NORDLIE,JAMES <br /> 2545 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 specifica[ions,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not gran[permission for additional or related work which requires separate <br /> pemtits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced 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 /> reques[ed in conformance with the State Buiiding Code.This permit may be <br /> rev � d at any ti e f du c se. <br /> � k�-- / `� �C>c1 �� / � <br /> Applican Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />