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� CITY OF ORONO PERm�T No.: 2011-000i9 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- uATE �SSUE�: OU07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3403 EASTLAKE ST <br /> NIN : OS-117-23-14-0060 <br /> I.GCAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 001 BLOCK 008 <br /> PERMIT TYPE : PLUMBING (> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NO�I�G: PLUMI3INC FIXTURI;S: <br /> (I I�:ACi l) WA"I�GR CLOSF;'l�, Li1V�"TORY. l3A"I�I IRUB, KITCHEN SINK,DISPOSAL,DIS[1WASHER, SILLCOCKS, WA"CER AND <br /> Wn I f R SOI'TI:NER <br /> VALUATION OF PLUMBING 1000 <br /> APPLICAI�IT PLUMBING FIXTURE FEE 50.00 <br /> NORTI IFICLD PLUMBING STATE SURCHARGE PLBG (VALUATI N) 5.00 <br /> I 17 ARBOR STREET <br /> NORTHFIELD, MN 550�7- TOTAL 55.00 <br /> (651)2�13-7d72 PAID WITt1 CC# 4502 <br /> � <br /> OWNER <br /> WHITMORE, KAYLEN <br /> 3403 EASTLAKE ST <br /> LONG LAKE, MN 553�6- <br /> AGREEMENT AND SWORN STATEMENT <br /> �I�he�cork t��r���hich this pennit is issued shall be perfonned according to <br /> thc appruved plans and specitications,applicable City approvals,and die <br /> State Building Code. 'I�his permit is for only the���ork described and does <br /> not grant pennission t�or additiunal or related work which requires separatc <br /> permits. All provisions of la���s and ordinances governine this type of work <br /> shall be compied with whether or not specified hercin.This permi[���ill <br /> eapire and hecome null and void if construction authorized is not <br /> commenced�vithin 180 days of the date of issuance,or if construction is <br /> suspendeJ for a period of 1 RO days at any time alter work has commenced. <br /> I�he applicant is responsiblc for assurinc all required inspections are <br /> requcsted in conformancc with the State Building Code.'fhis pennit may be <br /> revoked at an��time for due cause. <br /> / / / / <br /> npplicant Pcrmitcc Signature Dat� Issued}3��Signature Dat� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBGD ABOVE. <br />