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, , CITY OF ORONO PERMIT NO.: 2oos-000�2 <br /> 2750 KELLEY PARKWAY . <br /> ORONO,MN 55356- DATE ISSUED: 07/22/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 205 HOLLANDER RD <br /> PIN : 25-118-23-44-0011 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISHWASHER <br /> (1)LALJNDRY TRAY),(1)WASHER,AND(1)WET BAR <br /> VALUATION OF PLUMBING 7500 <br /> APPLICANT PLUMBING FIXTURE FEE 93.75 <br /> SUNDERLAND PLBG INC STATE SURCHARGE PLBG(VALUATION) 3.75 <br /> 1359 153RD LANE NW#300 TOTAL 97.50 <br /> HAM LAKE,MN 55304- <br /> (763)753-2745 <br /> OWNER <br /> BURNS,DAVID&CASSIDY <br /> 205 HOLLANDER 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 ponsible for assuring all required inspections are <br /> requested in nfo ance with te Building Code.This permit may be <br /> revo d a y t e fo e ca e. <br /> 7 / ZL / O� / il� <br /> plicant Permitee ignature Date Issife y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. <br />