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CITY OF ORONO PERMIT NO.: 2009-00355 <br /> 2750 KELLEY PARKWAY <br /> E <br /> ORONO, MN 55356- DATE ISSUEn: 06/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1509 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0003 <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 1100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE PLBG(VALUATION) 0.55 <br /> 265 CTY RD 110 NORTH TOTAL 50.55 <br /> MOUND, MN 55364 <br /> (952)472-9200 <br /> Minnesota State License#: 060524-PM <br /> OWNER <br /> CASHMAN, THOMAS <br /> 1509 LONG LAKE BLVD <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 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 separate <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 /> revo ed at any time r due cause. � �?C-- `C" <br /> F -- /_ :�7 � �"1 <br /> l Z . l c r ���,( ' �_ �' CYj'+�c f� l i <br /> �Applicant it 'gnature Date � <br /> � Issued By Signa ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />