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CITY OF ORONO iiiiiiiiiiiiiiiiiiiiiillillillillillillim <br /> 2750 KELLEY PARKWAY * 2 16 - 004 4 <br /> DAT0 E ISSUED: 05/02/22 016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1025 TONKAWA RD <br /> PIN 08-117-23-24-0003 <br /> LEGAL DESC CARLWOOD <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURE <br /> NOTE: DRINKING WATER SYSTEM <br /> VALUATION OF PLUMBING 350 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.18 <br /> RICHARD'S CUSTOM WATER TOTAL 50.18 <br /> 7600 W 27TH STREET#214 Payment(s) <br /> MINNEAPOLIS,MN 55416- CHECK 13991 50.18 <br /> (952)920-4200 <br /> Minnesota State License#: BUIL-WM061456 <br /> OWNER <br /> ANDRDA MESSINA,HUGH NEESON& <br /> 1025 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 i e State Buil ' g Code.This permit may be <br /> revoked at any time f c se. <br /> App ' nt Permitee Wfnature Date Issidev <br /> Signature Date <br />