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CITY OF ORONO * z � 1 5 - 0 0 7 8 8 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1720 NORTH FARM RD <br /> PIN : 27-118-23-44-0011 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT O10 BLOCK 001 <br /> PERM[T TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMBING 2077 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 1.04 <br /> CITY VIEW PLUMBING& HEATING TOTAL 51.04 <br /> 1880-B WAYZATA BLVD W <br /> P.O. BOX 150 Payment(s) � <br /> LONG LAKE, MN 55356 CHECK 35432 51.04 <br /> (952)473-8793 <br /> Minnesota State License#: plbg-MB005208 <br /> OWIYER <br /> HANSON,CRAIG&JOAN <br /> 1720 NORTH FARM RD <br /> LONG LAKE, MN 55356- <br /> AGREEMEI�T AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> S[ate 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reque Ie�d in conformance with the State Building Code.This permit may be <br /> re ked t any time for due caus . �� ��,�� <br /> l f � <br /> � ��, � � � � � � � t5� G � � �� 1S <br /> Applicant Permitee Signature Date Issued By Signature ` Date <br />