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CITY OF ORONO <br /> * 2013 - 00937 <br /> f 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1065 TONKAWA RD <br /> PIN : 08-117-23-13-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.217 <br /> : LOT 006 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 /> WATER DOCTORS <br /> 8201 CENTRAL AVENUE STATE SURCHARGE PLBG(<$500) 5.00 <br /> SPRING LAKE PARK,MN 55432- TOTAL 20.00 <br /> (763)286-6243 <br /> Minnesota State License#: 082337 <br /> OWNER <br /> BEBO,JAMES <br /> 1065 TONKAWA 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 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 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 tim r due cause. <br /> Appricarif Pefniltee jigm <br /> Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />