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( <br /> � CITY OF ORONO PERMIT NO.: 2009-00583 <br /> � 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE ISSUED: 09/14/2009 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2905 FOX ST <br /> PIN : 04-117-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 035 BLOCK 000 <br /> PERMIT TYPE : PLUMB[NG(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES -MULTIPLE <br /> NOTE: (12)WATER CLOSETS,(14)LAVATORIGS,(8)BATHTUBS,(2)SHOWERS,(2)KITCHEN S1NKS,(2)DISPOSALS,(2) <br /> DISHWASHGRS,(3)SILLCOCKS,(2)FLOOR DRAINS,(4)LAUNDRY TRAYS,(2)WASHERS,(2)WATER HEATERS,(1)WATER <br /> SOFTENER,(1)WET BAR,AND(2)MISCELLANEOUS <br /> VALUAT[ON OF PLUMBING 56000 <br /> APPLICANT PLUMBING FIXTURE FEE 700.00 <br /> FREEDOM MECHANICAL STATE SURCHARGE PLBG (VALUATION) 28.00 <br /> 11135 HWY.7 <br /> WATERTOWN,MN 55388 TOTAL 728.00 <br /> (612)363-6198 <br /> Minnesota State License#: 004042PM <br /> OWNER <br /> FRANCIS, MICHAEL& BERIT <br /> 2905 FOX ST <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 [he <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[his type of work <br /> shall be compied with whether or not specitied 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 consVuction 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 /> revo ,for due aus <br /> ..� • ��;��u �l /3 / l�� 6�-� l� �0 <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />