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* CITY OF ORONO PERMIT NO.: 2009-004�0 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/10/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1500 BRACKETTS POINT RD <br /> PIN : 11-117-23-34-0001 <br /> LEGAL DESC : BRACKETTS POINT 2ND ADDIT[ON <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 ST FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 SILLCOCK, 1 FLOOR DRAIN, 1 WATER HEATER <br /> VALUATION OF PLUMBING 7550 <br /> APPLICANT PLUMBING FIXTURE FEE 9438 <br /> STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 3.78 <br /> 13025 GEORGE WEBER DR TOTAL 98.16 <br /> SUITE#1 <br /> ROGERS, MN 55374 <br /> (763)428-1833 <br /> OWNER <br /> PADDOCK, BRUCE <br /> 920 SHADY LA <br /> WAYZATA, <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[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 is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��� �� �� � � � / / <br /> Applicant Permitee Signature Date Issued By S' ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />