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rr CITY OF ORONO PERMIT NO.: 2011-00101 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 650 TONKAWA RD <br /> PIN 05-117-23-33-0005 <br /> LEGAL DESC PARTENS POINT I ST DIV <br /> LOT 002 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (3)WATER CLOSETS,(3)LAVATORIES,(1)BATHRUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER, <br /> (2)SILLCOCKS,(1)LAUNDRY TRAY,(1)WASHER,(2)WET BAR,AND FLOOR DRAIN IN GARAGE <br /> VALUATION OF PLUMBING 6500 <br /> APPLICANT PLUMBING FIXTURE FEE 81.25 <br /> HUNTS PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 15225 CARROUSEL WAY#1 <br /> ROSEMOUNT,MN 55068- TOTAL 86.25 <br /> (651)322-1130 <br /> Minnesota State License#: 58964 <br /> OWNER <br /> ADAIR, MICHEAL&JEANNIE <br /> 650 TONKAWA RD <br /> LONG LAKE,MN 55356 <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>f sponsible for assuring all required inspections are <br /> requested'KqKormancc with the State Building Code.This permit may be <br /> revoke t y time for ue c s <br /> Applicant Permitee Signature Date <br /> Iss6e&By Signa re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />