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_� CITY OF ORONO * z 0 1 4 - 0 0 9 4 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014 - <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3265 SIXTH AVE N <br /> PIN : 29-118-23-44-0002 <br /> LEGAL DESC : UNPLATTED 29 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CROIX CRYSTAL STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3440 YOERG DR MAIL-IN FEE 2.00 <br /> HUDSON, WI 54016- TOTAL 22.00 <br /> Payment(s) <br /> CHECK 12783 22.00 <br /> OWNER <br /> WICHMAN,MICHAEL&AVA <br /> 3265 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEME1vT 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . <br /> ����"�""` � / / <br /> Applicant Permitee Signature Date Issued By Si ture Date <br />