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MUREMHUHUM <br /> CITY OF ORONO * 2013 - 00751 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/01/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 685 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-21-0002 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE VACUUM BREAKER <br /> VALUATION $ 2,875.00 <br /> NOTE: INSTALL PIPING AND VACUUM BREAKER FOR SPRINKLER SYSTEM <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CITY VIEW PLUMBING&HEATING STATE SURCHARGE(VALUATION) 1.44 <br /> 1880 WAYZATA BLVD W <br /> P.O.BOX 150 TOTAL 51.44 <br /> LONG LAKE,MN 55356 <br /> (952)473-8793 <br /> OWNER <br /> SCHOOLS,ORONO PUBLIC <br /> 765 OLD CRYSTAL BAY RD N <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 any time for due us <br /> Aliplicant Permitee Signature Date Issued By Si Lure to <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />