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CITY OF ORONO * 2 0 1 z - 0 0 1 B 6 * <br /> �� 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK O15 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WATER HEATER <br /> 2ND FLOOR:2 WC,2 LAV,2 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 3200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> WELLSWOOD GROUP STATE SURCHARGE PLBG(VALUATION) 1.60 <br /> 1444 BALDUR PARK DR TOTAL 51.60 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> WELLSWOOD GROUP <br /> 1444 BALDUR PARK 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 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revok d at any time for due cause. <br /> _ � �a �/� <br /> � � <br /> Applicant Permitee Signature Date Issued y Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />