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CITY OF ORONO PERMIT NO.: 2009-00915 <br /> r ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 720 TONKAWA RD <br /> PIN 05-117-23-34-0002 <br /> LEGAL DESC PARTENS POINT 1 ST DIV <br /> LOT 009 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 3 WATER CLOSETS,4 LAVATORY, 1 BATHTUB,2 SHOWERS, 1 KITCHEN SINK, 1 LAUNDRY TRAY <br /> VALUATION OF PLUMBING 8000 <br /> SIMPLY PLUMBING APPLICANT PLUMBING FIXTURE FEE 100.00 <br /> 12234 RIDGEWOOD DR STATE SURCHARGE PLBG(VALUATION) 4.00 <br /> ELK RIVER TOTAL 104.00 <br /> ELK RIVER,MN 55330- PAID WITH CC# 2849 <br /> (763)843-3431 <br /> OWNER <br /> MIDDLETON,PAT <br /> 720 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 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 cause. f Z —Z Z <br /> Ap cant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />