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CITY OF ORONO * 2 0 1 5 - 0 0 0 3 1 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: 01/12/201 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1015 TONKAWA RD <br /> PIN 08-117-23-24-0002 <br /> LEGAL DESC CARLWOOD <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORIES, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, <br /> I LAUNDRY TRAY, 1 WASHER <br /> VALUATION OF PLUMBING 15260 <br /> APPLICANT PLUMBING FIXTURE FEE 190.75 <br /> STATE SURCHARGE PLBG(VALUATION) 7.63 <br /> SPRING PLUMBING LLC <br /> 11473 KENYON COURT MAIL-IN FEE 2.00 <br /> BLAINE,MN 55449- TOTAL 200.38 <br /> (763)614-7963 Payment(s) <br /> Minnesota State License#:plbg-066807 PM CHECK 09782 200.38 <br /> OWNER <br /> PARTEN,MARK&JULIE <br /> 1015 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 By Signature Date <br />