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' � CITY OF ORONO PERMIT NO.: 2oiaoo32s <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1030 LOMA LINDA AVE <br /> PIN : 07-117-23-14-0056 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: <br /> PLUMBING FIXTURES: (1)EACH: WATER CLOSET,LAVATORY,SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER,AND <br /> LAUNDRY TRAY <br /> VALUATION OF PLUMBING 5495 <br /> APPLICANT pLUMBING FIXTURE FEE 68.69 <br /> WESTONKA MECHANICAL INC STATE SURCHARGE PLBG(VALUATION) 2.75 <br /> 6501 COUNTY RD 15 <br /> MOLJND,MN 55364 TOTAL 71.44 <br /> (952)472-4966 <br /> OWNER <br /> WOLLNER,LORI HUINKER&GARY <br /> 1030 LOMA LINDA AVE <br /> MOUND,MN 55364 <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 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 required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> r oked at y ti for due cause. <br /> ( <br /> �-, � � lo � ie <br /> i i <br /> Applicant Pe tee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />