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CITY OF ORONO * 2 0 1 2 - 0 0 5 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2012 <br /> ORONO, MN 55356- <br /> -� (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 880 PARTENWOOD RD <br /> PIN : OS-117-23-43-0001 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 KITCHEN SINK,2 DISHWASHER,2 S[LLCOCKS <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MANATEE PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.75 <br /> 11525 199TH CIRCLE <br /> SILVER LAKE, MN 55381- TOTAL 50.75 <br /> (612)756-1 172 � <br /> Minnesota State License#: 005923PM <br /> OWNER <br /> GRAY,JERRY&CYNTHIA <br /> 880 PARTENWOOD 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 approvcd 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 goveming 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 i <br /> requested in conformance with the State Building Code.This permit may be .C` .> <br /> oked at any tim or due use. �, <br /> � / ��j/ i,?�_��,_,�_�: �`;y'�'��C_�_?��/ (� ��- � <br /> /.-: <br /> App icant Per tee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />