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. <br /> CITY OF ORONO PERMIT NO.: 2011-00395 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssuEu: 05/26/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3382 BAYSIDE RD <br /> PIN : OS-117-23-14-0069 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WATER SOFTNER AND I IRON FILTER <br /> VALUATION OF PLUMBING 3100 <br /> APPLTCANT PLUMBING FIXTURE FEE 50.00 <br /> CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 1.55 <br /> 1519 148TH AVE NW <br /> ANDOVER, MN 55304 TOTAL 51.55 <br /> (763)434-0445 <br /> Minnesota State License#: 61240 <br /> OWNER <br /> HUTHWAITE, MICHAEL&MARILYN <br /> 7155 AINSWORTH DR <br /> GERMANTOWN, TN 38U8- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permi�is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> S[ate E3uilding Code. This permit is for only the work describcd 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 wi[h whe[her or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 responst�te f�r assuring all required inspections are <br /> requested in conform�fice with'the State Building Code.This permit may be <br /> revoke¢� any tirq�for�ca <br /> ,in .-�:,�_���/ �/ <br /> :�. <br /> �"� � � / / <br /> icant P ' e Signature Date Issued By ignature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />