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CITY OF ORONO * z 0 1 7 - 0 0 4 5 0 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2040 SPATES AVE <br /> PIN : 10-117-23-31-0090 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : WATER SOFTENER <br /> NOTE: NEW: WATER SOFTNER <br /> VALUATION OF PLUMBING 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.25 <br /> DON STODOLA WELL <br /> 3841 N. MAIN ST TOTAL 51.25 <br /> ST. BONIFACIUS, MN 55375- Payment(s) <br /> (952)446-9355 CREDIT CARD 6279 51.25 <br /> OWNER <br /> DAMMEN, SUSAN <br /> 2040 SPATES AVE <br /> WAYZATA, MN 55391- <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 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 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforman e with the State Building Code.This permit may be <br /> e e for e cause. / ) <br /> / i' _ f//f <br /> �j� <br /> ��� � � �� `_+C �-��,���t t. ��� �� � �> � - <br /> Appl�cant Permitee Signature Date [ssued By Signature Date-� <br />