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w • � <br /> CITY OF ORONO PERMIT NO.: 2010-01126 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: l U17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 60 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0020 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES INCLUDING: <br /> (1)WATER CLOSET,(3)LAVATORIES,(1)KITCHEN SINK,(1)SILLCOCK <br /> VALUATION OF PLUMBING 3800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> PATTIM LLC STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 400 LYMAN BLVD TOTAL 55.00 <br /> CHANHASSEN,MN 55317- <br /> (612)221-6751 PAID WITH CASH 55.00 <br /> OWNER <br /> HARTMAN,TODD <br /> 60 MYRTLEWOOD 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 respo ible for assuring all required inspections are <br /> reques d in confo e ' the State Building Code.This permit may be <br /> revok ti r ause. <br /> . _ /� �/ �,� <br /> Appl' ant P e ignature Date / � � � <br /> Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />