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' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 5 - 0 0 � 2 0 * <br /> DATE ISSUED: 03/18/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1645 BOHNS POINT RD <br /> PIN : ]7-117-23-11-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO.0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: WA"I'ER SOFTENER <br /> VALUATION OF PLUMBING 750 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.38 <br /> RICHARD'S CUSTOM WATER TOTAL 50.38 <br /> 6121 EXCELSIOR BLVD.#206 <br /> ST. LOUIS PARK, MN 55416- Payment(s) <br /> CHECK 13506 50.38 <br /> (952)920-1200 <br /> Minnesota State License#: BUIL-WM061456 <br /> OWIYER <br /> CHURCH,JOHN& KLERISSA <br /> 1645 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[o <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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permi[may be <br /> revoked at any t � for due cause. <br /> � � / � <br /> �/�� ��L/ =� ��'/, � (.�_ � i /�'i /5 <br /> � <br /> Applicant Permitee Signature Date Issued Signature Date <br />