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CITY OF ORONO * z 0 1 2 - 0 1 1 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 650 GANDER RD <br /> P[N : 04-117-23-43-0020 <br /> LEGAL DESC : FOXWOOD 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMB[NG (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NO"CG: PLUM[31NG FIXTURES: <br /> (1)KITCHBN SINK,(1)DISPOSAL,(1)D[SIIWASHER,(1)RANGE <br /> VALUATION OF PLUMBING 733 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> SOWADA& BARNA PLUMBING LLC STATE SURCHARGE PLBG (VALUATION) 0.37 <br /> 21058 DAVENPORT STREET <br /> P.O. BOX 188 TOTAL 50.37 <br /> CEDAR, MN 5501 1- <br /> (763)444-0292 <br /> OWNER <br /> TUCKER,JAMES& WHITNEY <br /> 650 GANDER RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State l3uilding 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 governing this type of work <br /> shall be compied with whether or not specified hereia 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 tbr 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 an time for due cause. <br /> �� 1 �--- /l l /`l / l�t � � (.J��CQ.�t�. /l i/ i /a-� <br /> Applicant Ycrmitee Signatur� Date [ssue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />