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� � CITY OF ORONO <br /> * 2 PJ 1 4 — 0 0 1 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/2U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3884 CHERRY AVE <br /> PIN : 08-117-23-33-0084 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTGNER <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> STATE SURCHARGE MECH(<$500) 5.00 <br /> CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 <br /> 3670 DODD ROAD- SUITE ]00 <br /> EAGAN, MN 55123- TOTAL 22.00 <br /> �� Payment(s) <br /> CHECK 28537 22.00 <br /> OWNER <br /> ENGLUND, DOUGLAS <br /> 3884 CHERRY AVE <br /> P.O. BOX 285 <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> Tiie work for which[his 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 scparate <br /> permits. nll 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 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[ime after work has commenced. <br /> The applicant is responsible tbr assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> .�i . <br /> � � '� Z � � � / <br /> Ap licant Permitee Sigrraluce.- Date `�'fssue y Signature Date <br />