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CITY OF ORONO PERMIT NO.: 2009-00153 <br /> , 2750 KELLEY PARKWAY <br /> " ORONO, MN 55356- �ATE ►ssuEn: 04/14/2009 <br /> '� (952) 249-hK00 FAX: (952) 249-4616 <br /> ADDRESS : ]785 CONCORDIA ST <br /> `C <br /> PIN : ]7-117-23-2�-0016 �� �`� ��,� <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK (� /�C�(.J <br /> : LOT 000 BLOCK 000 �� <br /> � <br /> PERMIT TYPE : PLUMBING(> $500) �� i%� <br /> PROPERTY TYPE : RESIDENTIAL „ }✓'� <br /> �J��i <br /> CONSTRUCTION TYPE : FIXTURES -MULT[PLE C� �� � <br /> �� � ,� , ��, <br /> NOTG: BASEM�NT[N-FLOOR HL'AT ONLY GAS BOILER `� <br /> v �� (�, � <br /> VALUATION OF PLUMBING 8000 <br /> l <br /> APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 4.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 TOTAL ]04.00 <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> OWNER <br /> DULIN, KEVIN& BARBARA <br /> 1785 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall be perlormed according to <br /> the approved plans and spccifications,applicable City approvals,and the <br /> State Building Codc. 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 hereia This permit will <br /> e�pire 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 L80 days at any time after work has commenced. <br /> "Che applican[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 due cause. <br /> ��.<-- � � i y � Q � ` � � t L���,,� ��_ /�L`i' <br /> � i i <br /> Applicant Permitee Signature Date [ssued By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />