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CITY OF ORONO * 2015 - 00278 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2015 <br /> ` ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 970 TONKAWA RD <br /> PIN 08-117-23-12-0002 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES <br /> NOTE: (2)WATER CLOSETS <br /> (2)LAVATORIES <br /> (1)BATHTUB <br /> (1)SHOWER <br /> (2)KITCHEN SINKS <br /> (1)DISPOSAL <br /> (1)DISHWASHER <br /> VALUATION OF PLUMBING 21300 <br /> APPLICANT PLUMBING FIXTURE FEE 266.25 <br /> STATE SURCHARGE PLBG(VALUATION) 10.65 <br /> GENZ-RYAN PLUMBING&HEAT <br /> 2200 HIGHWAY 13 MAIL-IN FEE 2.00 <br /> BURNSVILLE,MN 55337 TOTAL 278.90 <br /> (952)767-1000 Payment(s) <br /> CHECK 146317 278.90 <br /> OWNER <br /> BAKER,GARY <br /> 970 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 Iss d By Signature Date <br />