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CITY OF ORONO PERMIT NO.: 2011-00079 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/04/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1930 WEST FARM RD <br /> PIN : 27-118-23-43-0021 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 022 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV,2 SHOWER <br /> VALUATION OF PLUMBING 11300 <br /> APPLICANT PLUMBING FIXTURE FEE 141.25 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 5.65 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 MISC FEE 0.00 <br /> TOTAL 148.90 <br /> OWNER <br /> LYONS, MICHAEL& DEBRA <br /> 1930 WEST FARM 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\he State Building Code.This permit may be <br /> revoked at any time,for due cause. <br /> (\fia 65731-.4-'1C / <br /> • <br /> • Applicant Permitee Signature Date Issued By nature e� date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB(A . <br />