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� � <br /> CITY OF ORONO PERMIT NO.: 2010-00431 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISsuEn: 06/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1815 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0033 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: (1)LAVA"I'ORY <br /> VALUATION OF PLUMBING 1410 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> LARSON PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 0.71 <br /> 3095 162ND LANE NW TOTAL 50.71 <br /> ANDOVER, MN 55304 <br /> (763)427-7680 <br /> OWNER <br /> MCKEE, MR. & MRS. MELVIN <br /> 18]5 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the wark described and does <br /> not gran[permission for additional or related work which rcquires separate <br /> permits. All provisions of laws and ordinances govcrning this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and bccome null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if cons[ruction 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 conformance with the State Building Code.This permit may be <br /> revoked at any ti e for due cause. <br /> � // <br /> '" � � (J �/ � /�U <br /> Applicant Permitee Signature Da e Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />