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� � CITY OF ORONO PERMIT NO.: 2009-00009 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIN : l 0-ll 7-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : PLUMB[NG (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTG: <br /> YLUMBING I;IXTIRLS INCLUDE: (2)LAVATORIES,(1)WA"CE?R CLOSET,(1)SHOWER AND(1)KITCHEN SINK <br /> VALUATION OF PLUMBING 6500 <br /> APPLICANT PLUMBING FIXTURE FEE 81.25 <br /> RIDGELINE PLUMBING STATE SURCHARGE PLBG (VALUATION) 3.25 <br /> 25976 14TH ST W TOTAL 84.50 <br /> ZIMMERMAN, NfN 55398- <br /> (612)327-6064 PAID WITH CASH 84.50 <br /> OWNER <br /> GEORGE, DEVEAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "fhc work for which this permit is issued shall be pertormed according to <br /> the approved plans and specifications,applicable City approvals,and the <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 specified 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 atter work has commenced. <br /> "Che 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 time for duc cause. <br /> �•,,�;�--- d/ �/ 3 �D� �y?�_� D/�/� �D <br /> Applieant Permitee Signature Date ]s� cl By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />