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` F CITY OF ORONO * 2 0 1 2 - 0 1 0 2 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/ll/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1669 NORTH FARM RD <br /> PIN : 27-118-23-44-0008 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES <br /> (1)EACH WATER CLOSET,LAVATORY,KITCHEN SINK,DISPOSAL AND DISHWASHER <br /> VALUATION OF PLUMBING 2200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> DOUG LINDEN INC STATE SURCHARGE PLBG(VALUATION) 1.10 <br /> 5747 SE 57TH ST TOTAL 51.10 <br /> DELANO,MN 55328 <br /> (612)242-7560 <br /> OWNER <br /> BEENDERS&PETER MONTGOMERIE,ANTOINETTE <br /> 1669 NORTH FARM RD <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 a ' n espon ' assuring all required inspections are <br /> re sted in con rm ce with t e State Building Code.This permit may be <br /> re ked at y ti e r due ca e. <br /> � r� � l Z �� // � 2_ <br /> d � <br /> Appl t Permitee ig Date ssue y Si g nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />