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� 1 CITY OF ORONO PERMIT NO.: 2009-00219 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/1U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1495 GREEN TREES RD <br /> PIN : 11-117-23-23-0012 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER HEA"CER <br /> VALUATION OF PLUMBING 1200 <br /> APPLICAI�IT PLUMBING FIXTURE FEE 50.00 <br /> STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 0.60 <br /> 112 E STH ST <br /> SUITE 101 MISC FEE 1.90 <br /> CHASKA, MN 55318 TOTAL 52.50 <br /> (952)361-0128 <br /> OWNER <br /> BRASS, JAMES&JUDITH <br /> 1495 GREEN TREES RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 l 80 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 /> 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 any time for due caQse. <br /> �-�-�, � i i ��VI�t�.�t� i i <br /> Applicant Permitee Signature Date lssued Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />