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CITY OF ORONO P�RMiT No.: 2oi1-oo410 <br /> ' 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE IssuEn: 06/OU2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3860 CHERRY AVE <br /> ' PIN : 08-117-23-33-0008 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 014 BLOCK 003 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> (952)912-7379 MISC FEE 0.00 <br /> TOTAL 22.00 <br /> PA[D WITH CC# 0597 <br /> OWNER <br /> TRUSTEES, RR ENGLUND ET AL <br /> 9700 PORTLAND AVE S#324 <br /> BLOOMINGTON, MN 55420- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performed according to <br /> the approved plans and spccifications,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 l80 days at any time atter 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 timc for due cause. <br /> l/����W�(i U/v l l l l <br /> � Applicant Permitee Signature Date Issued By Si ture '�ate <br /> � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE AB E. <br />