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� ' � ` CITY OF ORONO <br /> * 2 0 1 5 - 0 1 0 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 BAYSIDE TR <br /> PIN : 06-117-23-22-0027 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: WATER SOFTENER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> WATER DOCTORS MAIL-IN FEE 2.00 <br /> 8201 CENTRAL AVENUE <br /> SPRING LAKE PARK, MN 55432- TOTAL 18.00 <br /> (763)535-1800 Payment(s) <br /> Minnesota State License#: mech-WC645002 CREDIT CARD 6404 18.00 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY,MN 55427- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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. AII 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 no[ <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> (it ) � l./[�{ U l � l <br /> / <br /> Applicant Permitee Signature Date Is e y Signature Date <br />