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CITY OF ORONO * 2012 - 0061S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 315 TONKAWA RD <br /> PIN 06-117-23-14-0021 <br /> LEGAL DESC REG.LAND SURVEY NO.0540 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)EACH: WATER CLOSET,LAVATORY,BATHTUB,SHOWER,FLOOR DRAIN,WASHER,WET BAR <br /> VALUATION OF PLUMBING 6000 <br /> APPLICANT PLUMBING FIXTURE FEE 75.00 <br /> STEWART PLUMBING,INC. STATE SURCHARGE PLBG(VALUATION) 3.00 <br /> 13025 GEORGE WEBER DR <br /> SUITE#1 MAIL-IN FEE 2.00 <br /> ROGERS,MN 55374 TOTAL 80.00 <br /> (763)428-1833 <br /> OWNER <br /> Waycrosse,Inc. <br /> MACMILLAN,MARTHA E <br /> 15407 MCGINTRY RD W <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 for due c se. <br /> Applicant Permitee Sigrditure Date ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />