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' ' '" CITY OF ORONO PERMIT NO.: 2009-00296 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 06/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1595 BOHNS POINT RD <br /> PIN : 08-117-23-44-0024 <br /> LEGAL DESC : DIVISION#050376 <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: <br /> (2)WATER SOFTENERS AND(2)IRON FILTERS <br /> VALUATION OF PLUMBING 8200 <br /> T <br /> �/ �` �;; <br /> APPLICANT PLUMBING FIXTURE FEE ]02.50 <br /> CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 4.10 <br /> 1519 148TH AVE NW <br /> ANDOVER, MN 55304 TOTAL 106.60 <br /> (763)434-0445 <br /> Minnesota State License#: 000373WC <br /> OWNER <br /> HALLORAN, PAT& KATHY <br /> 1595 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 /> pennits. All 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 wnstruction 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 respo ' le for assuring all required inspections are <br /> requested confo an e with the State Building Code.This permit may be <br /> revo e at any e f e cause. <br /> I <br /> � � � � � / / <br /> lica tee ign ure Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />