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ilium <br /> CITY OF ORONO * 2 0 1 5 - 8 0 5 5 1 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- <br /> DATE ISSUED: 05/07/2015 <br /> ' 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3445 WATERTOWN RD <br /> PIN 32-118-23-43-0009 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: KITCHEN SINK/WATER SOFTNER/IRON FILTER <br /> VALUATION OF PLUMBING 4294 <br /> APPLICANT PLUMBING FIXTURE FEE 53.66 <br /> BERGERSON-CASWELL INC. STATE SURCHARGE PLBG(VALUATION) 2.15 <br /> 5115 INDUSTRIAL ST. TOTAL 55.81 <br /> MAPLE PLAIN,MN 55359 Payment(s) <br /> (763)479-3121 CHECK 99148 55.81 <br /> OWNER <br /> Gordon James <br /> P0BOX 306 <br /> MAPLE PLAIN,MN 55359- <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 th State Building Code.This permit may be <br /> revoked at any time for d e. <br /> Applicant P itee Signature Date d ByWignature Date <br />