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CITY OF ORONO PERMIT NO.: 2011-00398 <br /> 2750 KELLEY PARKWAY <br /> r ORONO, MN 55356- DATE�SSUEn: OS/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 145 BROWN RD S <br /> PIN : 03-]17-23-21-0007 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: BASEMENT: <br /> 1 WC, 1 LAV, 1 SI-IOWER <br /> VALUATION OF PLUMBING 900 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> ROARK PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 0.45 <br /> 2415 WEST INDUSTRIAL BLVD. <br /> SUITE NO. 5 TOTAL 50.45 <br /> LONG LAKE, MN 55368- <br /> (612) 867-2521 <br /> OWNER <br /> W INTON,JOHN M. <br /> 145 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this permit is issued shall be perfornled according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant perm�ssion 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 specitied herein.This permit will <br /> expire and become null and void if construction auUiorized 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 atter work has commenced. <br /> The applicant is resp nsible for assuring ali required inspections are <br /> reques ed in co � r ance with the Sta[e Quilding Code.This permit may be <br /> revo� a ny ti e 'r due cause. � � � <br /> i � i �s�/z�!'�'�. / / <br /> Applicadt ermi ee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />