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CITY OF ORONO * Z 0 1 Z - 0 0 7 5 5 * ' 2750 KELLEY PARKWAY DATE ISSUED: 08/03/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2280 FOX ST PIN : 03-117-23-32-0014 LEGAL DESC : BILL KELLEYS LAND 1 ST DIV : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: BSMT: 1 WC, I LAV, 1 SHOWER, 1 FLOOR DRAIN 1ST FLOOR:2 KITCHEN SINK, 1 DISPOSAL, 1 UISHWASHER 2ND FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER VALUATION OF PLUMBING 10950 APPLICANT PLUMBING FIXTURE FEE 136.88 STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUAT[ON) 5.48 13025 GEORGE WEBER DR SU[TE#1 MAIL-IN FEE 2.00 ROGERS, MN 55374 TOTAL 144.36 (763)428-1833 OWNER MYHRAN,ANDERS& LYNN 2280 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specitications,appiicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission t2>r additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."Chis permit may be revoked at any time for due cause� l'�`�'��c �- / / �W�' / / Applicant Permitee Signature Date ]ssued By, i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.