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, .,.. , CITY OF ORONO * 2 0 1 5 - 0 0 1 9 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 760 HUNT FARM RD <br /> PIN : 31-118-23-11-0010 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 009 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: LAVATORY-SHOWER-FLOOR DRAIN <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> KURNVILLA,MICHAEL&LEENA TOTAL 50.50 <br /> 760 HLJNT FARM RD Payment(s) <br /> LONG LAKE,MN 55356- CREDIT CARD 6612 50.50 <br /> OWNER <br /> KURNVILLA,MICHAEL&LEENA <br /> 760 HUNT FARM RD <br /> LONG LAKE,MN 55356- <br /> AGREEMEIVT 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 re uired inspections aze <br /> requested in conformance with the State Bu din ode.This permit may be <br /> at any time for due cause. <br /> � ` � / // <br /> Applicant Permitee Signature Date Issue y Signature Date <br />