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CITY OF ORONO PERMIT NO.: 2010-00059 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE ISSUED: 02/04/2010 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 120 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0033 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> (1)WATER CLOSET,(2)LAVATORIES,AND(1)SHOWER <br /> VALUATION OF PLUMBING 1500 <br /> • <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BOE PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.75 <br /> 15481 KIOWA ST. TOTAL 50.75 <br /> ANDOVER,MN 55304 <br /> (763)757-1991 <br /> Minnesota State License#:96270 <br /> OWNER <br /> COLLINS,VINCENT <br /> 120 ORONO ORCHARD RD S <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 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 applic. t is responsible for assuring all required inspections are <br /> requested i co•formance with the State Building Code.This permit may be <br /> revoked at . y ime for/ ue cause. <br /> 2'r `1, zola irIP <br /> � .�._ Ip/. i�� <br /> Applic. t Permitee Signature Date I Id By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />