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111111111111111111 ilium <br /> CITY OF ORONO * 2012 - 00341 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1560 TANGLEWOOD RD <br /> PIN 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 2ND FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 3100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> NRH PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.55 <br /> 6460 153RD LN <br /> RAMSEY,MN 55303- TOTAL 51.55 <br /> (612)245-7280 PAID WITH CC# 8476 <br /> Minnesota State License#: 067436 PM <br /> OWNER <br /> BUHMAN,DION&TANYA <br /> 1560 TANGLEWOOD 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 r uired inspections are <br /> requested in confo ce with the S to i ing Code.This permit may be <br /> revoked at any time r due caus <br /> Applicant Periniee Signatu Date Issued By Y#ature D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVIV <br />