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CITY OF ORONO PERMIT NO.: 2011-00503 <br /> 2750 KELLEY PARKWAY <br /> • ORONO,MN 55356- DATE ISSUED: 06/21/2011 <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: 1 KITCHEN SINK <br /> 1 DISPOSAL <br /> 1 DISHWASHER <br /> VALUATION OF PLUMBING 3998 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 50.00 <br /> GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 <br /> (952)767-1000 MISC FEE 0.00 <br /> TOTAL 54.00 <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 the State Building Code.This permit may be <br /> revoked at any time for due cause. / <br /> Gl't l l I\ l l <br /> Applicant Permitee Signature Date Issued By S`' atureD e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />