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� !' CITY OF ORONO PERMIT NO.: 2010-00866 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3300 GRAHAM HILL RD <br /> PIN : OS-117-23-I1-0011 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (1)WATER CLOSET.(1)LAVATORY,(I)SHOWER,AND(1)KITCHEN SINK <br /> VALUAT[ON OF PLUMBING 3100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> EXCEL MECHANICAL, INC. STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 11582 COUNTY RD 13 <br /> WATERTOWN, MN 55388 TOTAL 55.00 <br /> (952)393-2403 PAID WITH CC# 0239 <br /> OWNER <br /> MURPHY,ANN <br /> 3300 GRAHAM HILL RD <br /> LONG LAKE, MN 55356- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> "I�he work Yor which this permit is issucd shall be performed according to <br /> the approved plans and specircations,applicable City approvals,and the <br /> State E3uilding Code. "1'his permi[is for only thc 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 orwork <br /> shall be compied with whether or not specified herein.This permit will <br /> ezpire and become null and void if construction authorized is not <br /> commenccd within 180 days ofthe date of issuance,or ifconstruction 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 conformance with the Sta[e[3uilding Code.This erm may be <br /> revoked any timc for due causc. <br /> / / l �l /D <br /> Ap icant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />