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CITY OF ORONO PERMIT NO.: 2009-00412 <br /> , � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/15/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 994 HUNT FARM RD <br /> PIN : 30-118-23-41-0012 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 006 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1-WATER CLOSET,2 LAVATORY, I-BATHTUB,2-SHOWER, 1-WATER HEATER <br /> VALUATION OF PLUMBING I5000 <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> CROW RIVER P&H <br /> 7440 20TH STREET STATE SURCHARGE PLBG(VALUATION) 7.50 <br /> HOWARD LAKE, MN 55349- TOTAL 195.00 <br /> O PAID WITH CC# 8667 <br /> OWNER <br /> SCHOON, PETER&CARLA <br /> 994 HUNT 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 wi[hin 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 aze <br /> requ ted in conf ce�yith the State Building Code.This permit may be <br /> rev ed at any for u se. � <br /> ��, F�_ � �-- ��`-� <br /> �� �i/� i�� � <_ ; ��� 1 1Cr��� i i <br /> �pplicant Perm tee Signature Date �� � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />