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CITY OF ORONO <br /> � ' 2750 KELLEY PARKWAY * Z 0 1 3 - 0 P1 8 5 9 * <br /> DATE 1SSUED: 08/26/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : I 105 FERNDALE RD W <br /> PIN : 02-117-23-43-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0441 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: 1 S"1'FLOOR 2 WC,3 LAV, 1 TUB, l SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR <br /> D[tAIN, I LAUNDRY"I'RAY, 1 WAE�{ER,�1 WATER I IEATER <br /> VALUATION OF PLUMBING 18000 <br /> APPLICANT PLUMBING FIXTURE FEE 225.00 <br /> DELSON PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 9.00 <br /> 1308 42 1/2 AVE. NE <br /> MINNEAPOLIS, MN 55421- TOTAL 234.00 <br /> O PAID WITH CC# 0876 <br /> Minnesota State License#: PC000954 <br /> OWNER <br /> TRUWIT, CHIP <br /> I 105 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be perfonned according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commeneed within 180 days of the date of issuance,or if construction is <br /> suspended for a per dbf 180 days at ny[ime afrer work has commenced. <br /> The applicant is r sponsible for a, u�g all required inspections are <br /> requested in co ormanc it tate Building Code.This permit may be <br /> revoked at n�y�ime�for � <br /> L/ 0 � � � l l <br /> Applicant ermitee ignature Date Issued F3y Si ture atc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />