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CITY OF ORONO * 2016 - 00392 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1345 VINE PL <br /> PIN : 07-117-23-42-0004 <br /> LEGAL DESC : REG.LAND SURVEY NO.0488 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER SOFTENER <br /> NOTE: REPLACE WATER SOFTNER <br /> VALUATION OF PLUMBING 1949 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CULLIGAN SOFT WATER SERVICE CO. <br /> STATE SURCHARGE PLBG(VALUATION) 0.97 6030 CULLIGAN WAY MAIL-IN FEE 2.00 <br /> MINNETONKA,MN 55345- TOTAL 52.97 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 52.97 <br /> OWNER <br /> YANIK,DAVID R <br /> 1345 VINE PL <br /> MOUND,MN 55364- <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 time for due cause. <br /> N( ( M, � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />