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CITY OF ORONO <br /> * 2012 - 0013S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 295 TONKA AVE <br /> PIN 05-117-23-13-0028 <br /> LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK <br /> LOT 000 BLOCK 003 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: BASEMENT BATHROOM R/I ONLY. <br /> VALUATION OF PLUMBING 3200 <br /> I <br /> APPLICANT <br /> EARL W. DAY&SONS, INC. PLUMBING FIXTURE FEE 50.00 <br /> 520 BRIMHALL AVE STATE SURCHARGE PLBG(VALUATION) 1.60 <br /> P.O.BOX 294 TOTAL 51.60 <br /> LONG LAKE,MN 55356 <br /> (952)473-8403 <br /> OWNER <br /> FRANK,CORY&SARAH <br /> 295 TONKA AVE <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 confo ce with t4 State Building Code.This permit may be <br /> rev a at any ti ` fo due c e. <br /> pC� t��C CSY�`� v 1 ill✓ 7 <br /> Applicant Perri a Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />