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. CITY OF ORONO * 2 0 1 s - 0 0 1 9 e * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3011 SUSSEX RD <br /> pI� : 04-117-23-32-0018 <br /> LEGAL DESC : FOX BEND <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION PE : WATER SOFTENER <br /> NOTE: REPLACE WA R S TENER <br /> VALUATION OF PL MB G 1050 <br /> �P ICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.53 <br /> ROBERT B.HILL C . MAIL-IN FEE 2.00 <br /> 7101 OXFORD ST ET TOTAL 52.53 <br /> MINNEAPOLIS, 5�42 <br /> (952)925-1444 Payment(s) <br /> Minnesota State Lice se#: UIL-WC646096 CHECK 049259 52.53 <br /> NER <br /> CRIS'TIANI,JUAN RE E <br /> 3011 SUSSEX RD <br /> LONG LAKE,MN 5 35Cr <br /> AGREEMEN AN SWORI�i STATEMENT <br /> The work for which this rmit i sued shall be performed according to <br /> the approved plans and s cificat s,applicable City approvals,and the <br /> State Building Code. Thi permi for only the work described and dces <br /> not grant permission for dition I or related work which requires separate <br /> permits. All provisions o laws ordinances governing this type of work <br /> shall be compied with w ther o ot specified herein.This permit will <br /> expire and become null d void construction authorized is not <br /> commenced within 180 ys of date of issuance,or if construction is <br /> suspended for a period o 180 da at any time aRer work has commenced. <br /> The applicant is responsi le for uring all required inspections are <br /> requested in conforman with State Building Code.This permit may be <br /> revoked at any time for d e caus . � <br /> � �-� - � ,a �; /� <br /> Applicant Permitee Si atur Date I ue Signature Date <br />