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w <br /> CITY OF ORONO * 2013 - 01033 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3590 NORTHERN AVE <br /> PIN : 17-117-23-43-0138 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 008 BLOCK 002 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(2)SHOWERS <br /> (2)SILLCOCKS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)FLOOR DRAIN, <br /> (1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER <br /> VALUATION OF PLUMBING 11000 <br /> APPLICANT PLUMBING FIXTURE FEE 137.50 <br /> TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE PLBG(VALUATION) 5.50 <br /> 265 CTY RD 110 NORTH <br /> MOUND,MN 55364 TOTAL 143.00 <br /> (952)472-9200 PAID WITH CC# 4708 <br /> Minnesota State License#: 060524-PM <br /> OWNER <br /> MAENNER,BRADLEY&AMANDA <br /> 2130 TAMARACK <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 /> revoked at any time for due ca se. <br /> AM l ant e e ature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />