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a � ` CITY OF ORONO PERMIT NO.: 2010.00527 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISsuEn: 06/24/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRES� : 1480 GREEN TREES RD <br /> PIN : 11-117-23-23-0016 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: (1)WASHER BOX <br /> VALUATION OF PLUMBING 1350 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> KRAMER MECHAN[CAL PLBG& HEATING STATE SURCHARGE PLBG (VALUAT[ON) 0.68 <br /> 7860 FAWN LAKE DR NE <br /> STACY, MN 55079- MAIL-IN FEE 2.00 <br /> (651)462-2194 TOTAL 52.68 <br /> PAID WITH CC# 3611 <br /> OWNER <br /> PLATOU, CARL& SUSAN <br /> 1480 GREEN TREES RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed 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 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 a[any Yimz for due c use. <br /> � '/ oZ�/ �� � � �i/ o� l /D <br /> Applicant Permitee Si ure Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />