Laserfiche WebLink
� � CITY OF ORONO * 2 0 1 2 - B 1 2 B 9 * <br /> 2750 KELLEY PARKWAY DA'rE �SSUED: 11/30/2012 <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- MULT[PLE <br /> NOTG: PLUMBING FIXTURES: <br /> (I)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(I)FLOOR DRAIN AND(l)WATER HEATER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> H[LLCOR PLUMBING STATE SURCHARGE PLBG (VALUATION) 2.00 <br /> 53 TERRACE RD NE TOTAL 52.00 <br /> ST MICHAEL, MN 55376- <br /> (763)688-0342 PAID WITH CC# 2293 <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 permit is issued shall be perfonned 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 separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not spccitied 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 rmance wi[h the State Building Code.This permit may be <br /> revoked ime for due cause. <br /> �� � 30 � - - . ' ��� l/ �-�� Z <br /> ican ermitee Signature Date Issue ` y S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />