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CITY OF ORONO PERMIT IYO.: 2010-01090 <br /> , ` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUE�: 1U08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3403 EASTLAKE ST <br /> PIN : OS-117-23-14-0060 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 001 BLOCK 008 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACG TOILE"C VENT S CACK <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> WHITMORE, KAYLEN STATE SURCHARGE PLBG (<$500) 5.00 <br /> 3403 EASTLAKE ST <br /> LONG LAKE,MN 55356- TOTAL 20.00 <br /> OWNER <br /> WHITMORE, KAYLEN <br /> 3403 EASTLAKE ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc�vork for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 separatc <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 du c�a c. ;' <br /> � `�% � �r / <br /> �.- � ' `'�' �'���'-� �� � <br /> ppl� ant Permitee Signature ate � � �� � �� <br /> ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />