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EIRMIREMEM <br /> CITY OF ORONO * 2 0 1 6 - 0 0 3 3 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/05/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS 755 TONKAWA RD <br /> PIN 05-117-23-33-0003 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 001 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,2 LAVATORY,2 SHOWERS, I KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WATER HEATER,2 PREP <br /> SINK OR WASHER BOX <br /> VALUATION OF PLUMBING 10654 <br /> APPLICANT PLUMBING FIXTURE FEE 133.18 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 5.33 <br /> 2200 HIGHWAY 13 TOTAL 138.51 <br /> BURNSVILLE,MN 55337 Payment(s) <br /> (952)767-1838 CHECK 153620 138.51 <br /> Minnesota State License#:mech-MB003541 <br /> OWNER <br /> SARAH BUSTON,JULIE BROWN <br /> 755 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 /> AO <br /> A p rcant Perrnitee tgnature Date Issued B ignature Da <br />