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CITY OF ORONO * 2 0 1 2 — 0 0 e 1 2 * <br /> ' � 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2012 <br /> . ORONO, MN 55356- <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 : FIXTURES- MULTIPLE <br /> NOTE: I WC, 1 L.AV. 1 TUE3, 1 WET BAR <br /> VALUAT[ON OF PLUMB[NG 0 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 0.90 <br /> 112ESTHST <br /> SUITE 101 MAIL-IN FEE 2.00 <br /> CHASKA, MN 55318 TOTAL 52.90 <br /> (952)361-0128 <br /> OWNER <br /> BRASS,JAMES&JUDITH <br /> 1495 GREEN TREES RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> Thc�cork for which this permit is issued shail be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "Chis permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shail be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the da[e 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 w�th the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> t <br /> �,�?� �'� / / ��7���� / / <br /> Applicant Permitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRBED ABOVE. <br />