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* i � <br /> CITY OF ORONO PERMIT NO.: 2oii-00026 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuED: OU1U2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1980 SIXTH AVE N <br /> PIN : 27-118-23-42-0004 <br /> LEGAL DESC : UNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (1 EACH) WATER CLOSET,LAVATORY,SHOWER,WASHER,AND STANDPIPE <br /> VALUATION OF PLUMBING 7500 <br /> APPLICANT PLUMBING FIXTURE FEE 93.75 <br /> EARL W. DAY& SONS,INC, STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 520 BRIMHALL AVE TOTAL 98.75 <br /> P.O. BOX 294 <br /> LONG LAKE, MN 55356 <br /> (952)473-8403 <br /> OWNER <br /> PIERPONT,JUDY&JIM <br /> 1980 SIXTH AVE N <br /> LONG LAKE,MN 55356- <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 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 confo ance with the State Building Code.This permit may be <br /> rev d at any t� e r due se. �%�l�✓''"v <br /> C <br /> �l //l l/ '` !� <br /> . / i / ( i // <br /> Applicant Per tee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />