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CITY OF ORONO PERMIT NO.: 2010-01029 <br /> " 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- �ATE ISSUEn: 10/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> PIN : 27-118-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NOTE: 1 WA'I'ER CLOSET, 1 LAVATORY, 1 BATHTUB, 1 SHOWER <br /> VALUATION OF PLUMBING 3795 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 6501 COUNTY RD 15 <br /> MOUND, MN 55364 TOTAL 55.00 <br /> (952)472-4966 <br /> OWNER <br /> Orono Woodlands <br /> 2100 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall bc performcd 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � , �'� ���� <br /> �' ' r/ �J'r?a,�,�,,,. r�, /� �f� �%='� c t i c 72't t r�, /C% ,�, <br /> �yApplicant Pe itee Signature Date � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />