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CITY OF ORONO * 2 0 1 2 - 0 1 0 B 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2012 <br /> , ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2465 NORTH SHORE DR <br /> PIN : 09-117-23-44-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (2)WATER CLOSETS,(3)LAVATORIES,(1)BATHTUB,(1)KITCHEN SINK,(1)DISHWASHER,(1)LAUNDRY TRAY <br /> AND(1)WASHER <br /> VALUATION OF PLUMBING 12928 <br /> APPLICANT pLUMBING FIXTURE FEE 161.60 <br /> STEAD PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.46 <br /> 7581 170TH STREET W TOTAL 168.06 <br /> LAKEVILLE,MN 56150- <br /> (952)239-9122 <br /> OWNER <br /> LINDAHL,MK.&MRS.JOHN <br /> 2465 NORTH SHORE DR <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 separate <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's responsible for assuring all required inspections aze <br /> requested i forman th State uilding Code.This permit may be <br /> revoked a time fo du . <br /> l� �� � -Z l� � a-�a ` <br /> Appl' ant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />