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InElffmillillillillillillillilifu <br /> CITY OF ORONO * 2 0 1 2 - 0 1 2 5 1 <br /> 2750 KELLEY PARKWAY <br /> DATE ISSUED: 12/18/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2645 WATERTOWN RD <br /> PIN 04-117-23-12-0008 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD ADDN <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (6)WATER CLOSETS,(8)LAVATORIES,(2)BATHTUBS,(4)SHOWERS,(2)KITCHEN SINKS,(2)DISPOSALS, <br /> (1)DISHWASHER,(2)SILLCOCKS,(2)FLOOR DRAINS,(2)WASHERS,(1)WATER HEATER,(1)SCREEN PORCH <br /> BAR SINK AND (1)GARAGE SINK <br /> VALUATION OF PLUMBING 28000 <br /> APPLICANT PLUMBING FIXTURE FEE 350.00 <br /> B&D PLUMBING&HEATING INC. STATE SURCHARGE PLBG(VALUATION) 14.00 <br /> 4145 MACKENZIE CT NE TOTAL 364.00 <br /> ST MICHAEL,MN 55376- <br /> (763)497-2290 <br /> OWNER <br /> VANOVERBEKE,PETER&AMANDA <br /> 2645 WATERTOWN 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 required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> y t' for du cause. <br /> 2ZAJIMiLcant Permitee Signature Date IsSu#d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />