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* CITY OF ORONO PERMIT NO.: 2011-00228 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 04/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 35 CRYSTAL CREEK RD <br /> PIN : 33-118-23-33-0002 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 001 BLOCK OOl <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PRONERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> NOTE: 2-WATER CLOS�ST,2 LAVATORY, 1 SHOWER <br /> VALUATION OF PLUMBING 4000 <br /> � <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> KOEHLER, STEVEN&ANNE STATE SURCHARGE PLBG (VALUATION) 5.00 <br /> 35 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356 TOTAL 55.00 <br /> OWIVER <br /> KOEHLGR, STEVEN& ANNE <br /> 35 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for which this permit is issued shall be performed accordin�to <br /> thc approved plans and specitications,applicable City approvals,and thc <br /> State Building Code. 7'his pennit is for only the work described and does <br /> not grant permission for additional or rclated work�vhich requires separate <br /> pcnnits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with���hether or not speciticd herein.'fhis permit will <br /> c�pire and becomc null and void if construction authorized is not <br /> commcnced within 180 days of thc datc of issuancc,or if construction is <br /> suspended for a period of I RO days at��ny time afler work has commenced. <br /> "fhe applicant is responsible for assurin;all required inspections are <br /> , requested in conformance with the State Building Code.This permit may be <br /> revoke any time for due causc. 1��� <br /> ��� r�C� ���`� ��_�.� y i a--(:; � � J ,-�._� � ; �._ ``y�y'�[ �! ' ���C; - /l <br /> Applicant Permrtec Signature Date Issucd Qy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />