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�� ` CITY OF ORONO PERMIT NO.: 2009-00094 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 03/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3420 BAYSIDE RD <br /> PIN : OS-117-23-13-0012 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW PLUMBING FIXTURES INCLUDE: (3)WATER CLOSETS,(3)LAVATORIES,(2)BATHTUBS,(1)EACH-SHOWER, <br /> KITCHEN SINK,DISPOSAL,DISHWASHER,LAUNDRY TRAY AND WATER HEATER,(2)SILLCOCKS <br /> VALUATION OF PLUMBING 6500 <br /> APPLICANT PLUMBING FIXTURE FEE 81.25 <br /> PRESTIGE PLUMBING& DRAIN STATE SURCHARGE PLBG(VALUATION) 3.25 <br /> 1140 JAMBOR AVE NE TOTAL 84.50 <br /> ST MICHAEL,MN 55376- <br /> (763)477-8159 <br /> Minnesota State License#: 067419 <br /> OWNER <br /> MILESKI,BLAIR <br /> 3420 BAYSIDE 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 aftet work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with I�+e ate Building Code.This permit may be <br /> revoked at any ti�fo e �use � <br /> l l� lJ�Y l�I,LC.ir— � l / l� <br /> Applicant rmitee Si ture Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />