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CITY OF ORONO PERMIT NO.: 2011-01070 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADf3RESS 1030 TONKAWA RD <br /> PIN 08-117-23-13-0015 <br /> LEGAL DESC REG.LAND SURVEY NO.0617 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: BASEMENT: <br /> 2 WC <br /> 2 LAV <br /> 2 SHOWER <br /> 1 KITCHEN SINK <br /> 1 DISPOSAL <br /> 1 DISHWASHER <br /> VALUATION OF PLUMBING 9500 <br /> APPLICANT PLUMBING FIXTURE FEE 118.75 <br /> LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 4.75 <br /> 12469 ZINRAN AVE. <br /> SAVAGE,MN 55378 MAIL-IN FEE 2.00 <br /> (952)894-7600 MISC FEE 0.00 <br /> TOTAL 125.50 <br /> OWNER <br /> BREMER,DENNIS&CYNTHIA <br /> 1030 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 Bognature Dat <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />