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CITY OF ORONO PERMIT NO.: 2009-00283 <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3785 TOGO RD <br /> PIN 17-117-23-31-0039 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 010 BLOCK 010 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 BATHTUB, IKITCHEN SINK, 1 WASHER <br /> VALUATION OF PLUMBING 4250 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 53.13 <br /> BOEVAAG PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 2.13 <br /> P.O.BOX 1257 TOTAL 55.26 <br /> PRIOR LAKE,MN 55372- <br /> (952)440-3792 PAID WITH CC# 0965 <br /> Minnesota State License#:062966-PM <br /> OWNER <br /> COLDWELL BANKER <br /> 201 EAST LAKE ST <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 <br /> revoked at any time�&e 5c4 . _ �J <br /> AppiiAtPbr-miteeSignature Date Issued By&gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />