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' CITY OF ORONO PERMIT NO.: 2012-00032 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU13/2012 <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 : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> COIVSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOIE: E3ASEMEN"1': I WC, 1 LAV. 1 DISPOSAL, 1 F3AR S[NK, 1 WET BAR <br /> FINISH I,L BAR&BATH-RI 2 YEARS AGO <br /> VALUATION OF PLUMBING 2100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> FREEDOM MECHANICAL STATE SURCHARGE PLBG(VALUATION) 1.05 <br /> 1 1 135 HWY. 7 <br /> WATERTOWN, MN 55388 TOTAL 51.05 <br /> (612)363-6198 PAID WITH CC# 4420 <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 /> I'he�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 Build�ng Code. This pennit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied��-ith whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspended f'or a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste i conformance with[he State Building Code.This permit may be <br /> revo� d a ny { e T�r e cau <br /> l <br /> �--��i���� l l3 � /� <br /> � ��� � <br /> Applicant Permitee Signature Date Issued By Sig a re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />