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r <br /> CITY OF ORONO * Z 0 1 7 - PJ 0 9 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/2U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2102 SUGARWOOD DR <br /> PIN : 34-118-23-21-0021 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 002 BLOCK 004 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTENER REPLACEMENT <br /> VALUATION OF PLUMBING 2849 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.42 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345- TOTAL 53.42 <br /> (952)912-7379 Payment(s) <br /> CRED[T CARD 5107 53.42 <br /> OWNER <br /> ACKERBERG, ROMY&STUART <br /> 2102 SUGARWOOD DR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT A1vD 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[he 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 /> `--�'��t�,C�� r`� <br /> ����i � 1� � lI� <br /> Applicant Permitee Signature Date Issued Ry gnature Date <br />