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CITYOFORONO * z0 14 — PJPJ96z * <br /> � 2750 KELLEY PARKWAY llATE ISSUED: 08/27/2014 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 649 FERNDALE RD W <br /> PIN : 02-117-23-44-0003 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 184 <br /> : LOT 102 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RES[DENT1Ai. <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLG <br /> NO'i'E: 1S�I'I�LOOR: 1 WG 1 LAV, 1 �I�U[3. I KITC}IEN SINK, 1 SILLCOCKS, I WnSH1�:R, 1 WATi;R}II�;ATI;R <br /> VALUATION OF PLUMBING E500 <br /> APPLICANT PLUMB[NG FIXTURE FEE 8125 <br /> STATE SURCHARGE PLBG (VALUATION) 3.25 <br /> KLAMM MECH <br /> 12409 COUNTY ROAD AA MAIL-IN FEE 2.00 <br /> BURNSVILLE, MN 55337- TOTAL 86.50 <br /> (952) 891-4868 Payment(s) <br /> CREDIT CARD 2532 86.50 <br /> OWNER <br /> ROBSON, YETER & ANN <br /> 649 FERNDALE RD W <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. Thi�lpermit is for only[he work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of la���s and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."I his permit will <br /> expire and become null and void if consVuction 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 /> requestcd in conforniance with the State l3uildin�;Code.This permit may be <br /> revoked at any time Yor duc cause. <br /> �i�� / / <br /> Applicant Pcrmitcc Signaturc Datc Issucd By S� ature Datc <br />