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. � CITY OF ORONO PERMIT NO.: 2011-01332 <br /> ` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [SSUEn: 10/26/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> RGPRINTED ON ]0/26/2011 � <br /> ADDRESS : 1685 FOX ST ',� `x��_ , <br /> PIN : 03-117-23-44-0004 �, �k�.,;. <br /> LEGAL DESC : HANSER ADDN '\\ ��' <br /> : LOT 002 BLOCK 001 �`� <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMEN"I': 1 WC, 1 LAV, 1 TUB, 1 LAUNDRY TRAY, 1 MISC <br /> 1ST FLOOR: 1 KITCI{EN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 MISC <br /> VALUATION OF PLUMB[NG 8300 <br /> APPLICANT PLUMBING FIXTURE FEE 103.75 <br /> SOUTHTOWN PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 4.15 <br /> 6636 PENN <br /> RICHFIELD, MN 55423 MAIL-IN FEE 2.00 <br /> (612)866-3057 TOTAL 109.90 <br /> OWNER <br /> HORNIG, STEVEN <br /> 1685 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performcd according[o <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State Building Code. This permit is for only the 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 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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e E3uilding Code.This permit may be <br /> revoked a[any time for due cause. <br /> �-�'`'e �`" � � / / <br /> Applicant Permitee Signature Date Issued By ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB � <br />