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CITY OF ORONO PERMIT NO.: 2011-00405 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- HATE ISSUED: 05/31/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1065 TONKAWA RD <br /> PIN 08-117-23-13-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (1)EACH: WATER CLOSET,LAVATORY,SHOWER,KITCHEN SINK,DISHWASHER,SILLCOCK,WATER HEATER <br /> VALUATION OF PLUMBING 2100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> GREAT WEST MECHANICAL STATE SURCHARGE PLBG(VALUATION) 1.05 <br /> 19740 200 AVE.NW TOTAL 51.05 <br /> BIG LAKE,MN 55309 <br /> O PAID WITH CC# 5709 <br /> Minnesota State License#: 003987PM <br /> OWNER <br /> BEBO,JAMES <br /> 1065 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 da s at any time after work has commenced. <br /> The applicant is responsible fo assuring all required inspections are <br /> requested in conformance w' the State ding Code.This permit may be <br /> revoked at any ti or d cause. <br /> Applicantfe4rnit&Signature Date Issued By Si a ure to <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />