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to1Z—B4ow-3os� <br /> �► CITY OF ORONO PERMIT NO.: 2009-00285 <br /> • 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 746 TONKAWA RD <br /> PIN 05-117-23-34-0005 <br /> LEGAL DESC PARTENS POINT 1ST DIV <br /> LOT 011 BLOCK 000 <br /> PERMIT TYPE PLUMBING(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> SOUTHTOWN PLUMBING INC. <br /> 6636 PENN STATE SURCHARGE PLBG(<$500) 0.50 <br /> RICHFIELD,MN 55423 MAIL-IN FEE 2.00 <br /> (612)866-3057 MISC FEE 0.00 <br /> Minnesota State License#: 60956PM TOTAL 17.50 <br /> PAID WITH CC# 8715 <br /> OWNER <br /> CALDWELL,EDWARD&MARY <br /> 746 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 clue cause. <br /> t.t, (' . <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />