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;"i'Y OF ORONO * z 0 1 5 - 0 1 0 7 8 * <br /> � � 27.�`1 KELLEY PARKWAY pAT� [SSUEn: 08/24/2015 <br /> UIZOI�'O, MN 55356- <br /> (�`"�''_'9-4C00 FAX: (952) 249-4616 <br /> ADDRESS : 80 CR[:I F: R I I�C�! "nSS <br /> PIN : 03-117--�- -12-OOI� <br /> LEGAL DESC : CREEKSI!)I? IN �'�� �?NO <br /> : LOT 007 13L0(��: 001 <br /> PERMIT TYPE : PLUM�31V'G (>�� �) <br /> PROPERTY TYPE : RESIDI:�: i�InL <br /> CONSTRUCTION TYPE : WATER SOFTN I��� <br /> VALUAT[ON OF PLUMBING �uUU <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.50 <br /> AQUARIUS WATERCONDITIONING, i':C. TOTAL 51.50 <br /> 3180 COUNTRY DR Payment(s) <br /> LITTLE CANADA, MN 55117- CHECK 5085 51.50 <br /> (651)777-0448 <br /> Minnesota State License#t: plbg-WI50110?_'� <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVY RD <br /> CHASKA,MN 55318- <br /> AGREEMENT AND SWORN ST�'�"I f:'I(:� <br /> The work for which this permit is issued shall be per`� ����:�I acc��,�'�n�to � <br /> the approved plans and specifications,applicable City a�iprovals.�� t thc ' <br /> State Building Code. This permit is for only the work described a� :docs i <br /> not grant permission for additional or related work«hid�r�quir�> r.,�.c � <br /> permits. All provisions of laws and ordinances govcrnina(his ty����'f work � <br /> shall be compied with whether or not specified herein.7,,;,pu i���� ��ill <br /> expire and become null and void if construction authorizcd i,rn�t <br /> commenced within 180 days of the date of issuance,or if c��n;u��,::����n is <br /> suspended for a period of 180 days at any time after work has co�������n,ed. � <br /> The applicant is responsible for assuring aIl required in,�irctinn�, <br /> requested in conformanc with the State Building Go�l�,.l�;,i,pcn, �:n�.���bc <br /> revoked�any ty�ne fo�Clue cayse. j��F� <br /> ;. � �/ /� � <br /> ,�/�"� 'j <br /> i� - � ��,� �l�� -IS �, t�� Z �/� /S <br /> App ant Pe, ite���i�nature � ,,� '� Issued By Signature Date <br />