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ICITY OF ORONO PERMIT NO.: 2010-00436 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/08/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2875 WEAR CIR <br /> PIN : 33-118-23-34-0004 <br /> LEGAL DESC : UNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: FIXTURES INCLUDED: <br /> (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(2)KITCHEN SINKS,(1)DISHWASHER,(2)SILLCOCKS, <br /> (1)FLOOR DRAIN,(2)LAUNDRY TRAYS,(2)WASHERS AND(1)WATER HEATER <br /> VALUATION OF PLUMBING 16000 <br /> APPLICANT PLUMBING FIXTURE FEE 200.00 <br /> COX PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 8.00 <br /> 17041 172ND AVE SE TOTAL 208.00 <br /> BIG LAKE,MN 55309- <br /> (612)242-9247 <br /> OWNER <br /> VAN PATTEN <br /> 2875 WEAR CIR <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 ti for due cause. <br /> ve —._ ---7C._ / / auto_ <br /> or <br /> Ap I t Permitee Signature Date Issu f By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />