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CITY OF ORONO PERMIT NO.: 2010-00148 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/15/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 420 ORCHARD PARK RD <br /> PIN : 32-118-23-23-0006 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 008 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)EACH: <br /> WATER CLOSET,LAVATORY,SHOWER,DISHWASHER AND WET BAR <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> 1168 IFFERT AVE SE TOTAL 50.50 <br /> BUFFALO,MN 55313- <br /> (612)282-5041 <br /> OWNER <br /> PETERSON, WILLIAM&LYNAE <br /> 420 ORCHARD PARK 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 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 an t. for du use. <br /> Applicant Pe itee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />