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afflufflosilm <br /> CITY OF ORONO * 2013 - 01190 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/08/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3745 TOGO RD <br /> PIN : 17-117-23-31-0046 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 009 BLOCK 010 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(2)LAVATORIES,(2)BATHTUBS,(1)KITCHEN SINK,(1)DISPOSAL <br /> (1)DISHWAHSER AND(1)LAUNDRY TRAY <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> PREFERRED PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 3.00 <br /> 6400 HIGH POINT TRAIL TOTAL 78.00 <br /> PRIOR LAKE,MN 55372- <br /> (952)447-5761 PAID WITH CC# 7189 <br /> OWNER <br /> MACKEY,GERALD <br /> 3745 TOGO RD <br /> WAYZATA,MN 55391- <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 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 j <br /> revoked at any time f due causg.Aq <br /> i ermite tgnature Date Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />