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� CITY OF ORONO * Z 0 1 Z — PJ 1 2 5 7 * <br /> - 2750 KELLEY PARKWAY pATE lssu�n: 12/19/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4010 BAYSIDE RD <br /> PIN : 06-117-23-11-0006 <br /> LEGAL DESC : POPOV ADDN <br /> : LOT 000 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 /> APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> (952)445-4803 TOTAL 22.00 <br /> Minnesota State License#: 057209PM <br /> OWNER <br /> LEVANG, CURTIS& ELIZABETH <br /> 4010 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> ACREEMENT AND SWORIY STATEMENT <br /> The�vork for which this permit is issued shall be perfornied according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only thc 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 rype of work <br /> shali be compied with whether or not specified herein.This permit will <br /> expire and become null and void if consVuction au[horized 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 /> requcsted in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> ` v Y v <br /> .������'� / / / / <br /> Applicant Permitee Signature Date Issued By S'= ature �ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />