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` CITY OF ORONO <br /> � * 2 0 1 6 - 0 0 3 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 800 BROWN RD N <br /> PIN : 34-118-23-11-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: NEW WATER SOFTNER <br /> VALUATION OF PLUMBING 2549 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.27 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 53.27 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 53.27 <br /> OWNER <br /> NORTH, MICHAEL&SARA <br /> 800 BROWN RD N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this 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 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time afrer work has commenced. <br /> The applicant is cesponsible for assuring all required inspections are <br /> requested in conformance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . ��U) <br /> � <br /> �Ct( � G��� � ����-n (-_ � �.�E;� �� i i �`t i l C,, <br /> Applicant Permitee Signature Date Issued By Signature Date <br />