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CITY OF ORONO * Z 0 1 2 - PJ 0 8 2 5 * <br /> t, 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2012 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2011 SUGARWOOD DR <br /> PIN : 34-118-23-21-0014 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORIES, 1 BATI[TUB,2 SHOWERS, REPLACE FAUCE��& FIXTURES ON EXISTING ROUGH IN <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> GRABOW PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 2.50 <br /> 8420 REDWOOD STREET <br /> COON RAP[DS, MN 55433 TOTAL 65.00 <br /> �) <br /> Minnesota State License#: 038623PM <br /> OWNER <br /> KING, ROGER&JEAN <br /> 201 I SUGARWOOD DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemiit is issued shall be perlormed 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 o�related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shali 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 l80 days at any time after wark has commenced. <br /> The applicant is responsible Yor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permi[may be <br /> revoked at any time for due cause. G�., <br /> ��/�/ Gv �.. �— fj ��2 � �Z- � � `c� � <3 �. <br /> ��--(���-C �'�Y�C�G�' / / � <br /> Applicant Permitee Signature Date Issued By Si nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />