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CITY OF ORONO * 2 B 1 z - 0 0 8 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUEU: 09/07/2012 <br /> ` ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1729 NORTH FARM RD <br /> PIN : 27-118-23-44-0018 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: 1 WATER CLOSET, 1 SHOWER <br /> VALUATION OF PLUMBING 1143 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CITY VIEW PLUMBING& HEATING STATE SURCHARGE PLBG (VALUATION) 0.57 <br /> 1880 WAYZATA BLVD W TOTAL 50.57 <br /> P.O.BOX 150 <br /> LONG LAKE, MN 55356 <br /> (952)473-8793 <br /> OWNER <br /> FIELD, MR.& MRS. BENJAMIN <br /> 1729 NORTH FARM RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permi[is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <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 au[horized 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 are <br /> reques[ed in conformance wit e State Building Code.This permit may be <br /> rev e t any time for du� se. �/��, <br /> - f� � l� l �c� ,,� C�%�Y���� �� � �l�� — � <br /> Ap cant Permitee Si n ure Date Issued By Si�aturc Date � �� � � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />