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« <br /> CITY OF ORONO PERMIT NO.: 2009-0020� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 05/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2640 KELLY AVE <br /> PIN : 20-117-23-14-0006 <br /> LEGAL DESC : APPLE HILL <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> 1 TOLIET, 1 SINK, 1 SHOWER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> VOLKMAR,JOHN&SHERRY STATE SURCHARGE PLBG(<$500) 0.50 <br /> 2640 KELLY AVE <br /> EXCELSIOR,MN 55331 MAIL-IN FEE 2.00 <br /> TOTAL 17.50 <br /> OWNER <br /> VOLKMAR,JOHN&SHERRY <br /> 2640 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 /> Sta[e 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 /> permiu. 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 responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� .S� �P ��l �i LP � a9 <br /> Applic�ermitee Signa Date Is ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />