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CITY OF ORONO PERMIT NO.: 2011-00886 <br /> t ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/17/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3424 EASTLAKE ST <br /> PIN : OS-117-23-13-0044 <br /> LEGAL DESC : BAYSIDE BEACH <br /> : LOT 003 BLOCK 001 <br /> NERMIT TYPE : PLUMBING(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NO"I'E: 2ND FLOOR: 1 WC,2 LAV., 1 TUB, 1 SHOWER <br /> VALUATION OF PLUMBING 5200 <br /> APPLICANT PLUMBING FIXTURE FEE 65.00 <br /> LAKESIDE PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.60 <br /> 12469 ZINRAN AVE. <br /> SAVAGE, MN 55378 MAIL-1N FEE 2.00 <br /> (952)894-7600 MISC FEE 0.00 <br /> TOTAL 69.60 <br /> OWNER <br /> RADKE, THOMAS& MARGARET <br /> 3424 EASTLAKE ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he N�ork for which this permil is issued shall be performed according to <br /> the approved plans and specitications,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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assurinc all required inspections are <br /> requested in conformance with the State E3uildi��g Code.This permit may be <br /> revoked at any time for due cause. - <br /> ���-�C � / / / / <br /> Applicant Permitee Signature Date Issued By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />