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CITY OF ORONO PERM[T NO.: 20��-001�3 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 02/18/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 155 MAC.1���f1d�1�R �;��i:,;�k �i�)�l y r F �-Il <br /> PIN : 32-118-23-43-0016 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 2 BLOCK I <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NO"I G: 13ASEMENT: 3 SILLCOCKS, I FLOOR DRAIN, 1 WATGR HLATER, 1 WATER SOFTNER, 1 Wf�I'I3AR <br /> 1 S7�FLOOR: 1 WC, 1 LAV,2 KPI�CHEN SINKS. 1 DISPOSAL, 1 DISEIWASHER, 1 LAUNDRY��RAY, 1 WASHER <br /> 2ND FLOOR:3 WC,5 LAV, 1 "I'UB,3 SHOWER <br /> VALUATION OF PLUMBING 32270 <br /> APPL[CANT PLUMBING FIXTURE FEE 403.38 <br /> SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 16.14 <br /> 1 1473 KENYON COURT <br /> BLAINE, MN 55449- MAIL-IN FEE 2.00 <br /> (763)614-7963 MISC FEE 0.00 <br /> Minnesota State License#: 066807 PM TOTAL 421.52 <br /> OWNER <br /> ROLL& JACQUELINE WILLIAMS-ROLL, MICHAGL <br /> 75 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for which this permit is issued shall be perfonned according to <br /> ihe 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 fior additional or related work which requires separate <br /> pennits All provisions of laws and ordinances�overning this type of work <br /> shall 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 date of issuance,or if construction is <br /> suspended for a period of 180 days at a�ry time after work has commenced. <br /> Thc applicant is responsible for assuring all required inspections are <br /> requested in confonnancc witl7 the.State I3uilding Code.This pennit may be <br /> revoked at any time for due cause. <br /> �i�J%L-Q.�-e �- � l � l <br /> Applicant Permitee Signature Date Issued By S'g ature ate <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />