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CITY OF ORONO PERMIT NO.: 2012-00039 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 01/17/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 724 TONKAWA RD <br /> PIN : 05-117-23-34-0003 <br /> LEGAL DESC : PARTENS POINT I ST DIV <br /> : LOT 010 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN, 1 WATER HEATER <br /> 1 ST FLOOR: 1 WC, 1 LAV, I KITCHEN SINK, 1 DISPOSAL, 1 LAUNDRY TRAY <br /> 2ND FLOOR:2 WC,2 LAV, I TUB,2 SHOWER, <br /> VALUATION OF PLUMBING 14000 <br /> APPLICANT PLUMBING FIXTURE FEE 175.00 <br /> GLACIER PLUMBING INC <br /> 680 VALHALLA DR NE STATE SURCHARGE PLBG(VALUATION) 7.00 <br /> CEDAR,MN 55011- MAIL-IN FEE 2.00 <br /> (763)413-1883 TOTAL 184.00 <br /> PAID WITH CC# 9344 <br /> OWNER <br /> ZAWOYSKI, STEPHEN&SARA <br /> 724 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. <br /> Applicant Permitee Signature Date Issued q Pignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />