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�^ CITY OF ORONO * 2 0 1 2 - 0 0 6 5 2 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2990 SUSSEX RD <br /> PIN : 04-117-23-31-0020 <br /> LEGAL DESC : FOX BEND <br /> : LOT 3 BLOCK 4 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2ND FLOOR:2 WC,3 LAV, I TUB,2 SHOWER <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> HILLCOR PLUMBING STATE SURCHARGE PLBG(VALUATION) 3.00 <br /> 53 TERRACE RD NE <br /> ST MICHAEL,MN 55376- TOTAL 78.00 <br /> (763)688-0342 <br /> Minnesota State License#:PC645327 <br /> OWNER <br /> KELLY,JUSTIN&SUSAN <br /> 2990 SUSSEX RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 sepazate <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 /> suspe d for a period of 180 days at any time after work has commenced. <br /> The pl cant is responsible for assuring all required inspections aze <br /> req ste in confo ance with the State Building Code.This permit may be <br /> rev ked at any ti for due cause. <br /> � o � 2 , � <br /> A cant ermitee ignature Date Issued By S g ature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O . <br />