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CITY OF ORONO PERMIT NO.: 2010-00285 <br /> • 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- �ATE [SSUEn: 04/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 550 OXFORD RD <br /> PIN : OS-117-23-41-0026 <br /> LEGAL DESC : FOX HOLLOW <br /> : LOT 041 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO"I'E: 2ND FLOOR: BATHTUB <br /> VALUATION OF PLUMBING 3800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG (VALUATION) 1.90 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE, MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 I MISC FEE. _._ _ _ 0.00 <br /> TOTAL 53.90 <br /> OVF/NER <br /> KNUDSON, DOUGLAS&MARY <br /> 550 OXFORD RD <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWOIdN STATF,MENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificaYions,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 governing this t�pe ofwork <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 ace <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a[any time for due cause. <br /> ��LY(l,(,� « � � ���)� l l <br /> Applicant Permitee Signature Date Issue Signature ate <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />