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, v <br /> CITY OF ORONO * Z p� 1 3 - 0 P1 9 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2720 PHEASANT RD <br /> PIN : 21-117-23-23-0052 <br /> LEGAL DESC : YALE SMILEY ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE ; PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: LAVATORY AND SHOWER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> RIDGE, MARK STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> 2720 PHEASANT RD <br /> EXCELSIOR,MN 55331- TOTAL 50.25 <br /> OWNER <br /> RIDGE,MARK <br /> 2720 PHEASANT RD <br /> EXCELSIOR,MN 55331- <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 governing 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee S�gnature Date Issued By Sig ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />