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' CITY OF ORONO * 2 0 1 3 — 0 0 4 8 8 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> (952)912-7379 TOTAL 22.00 <br /> PAID WITH CC# 0597 <br /> OWNER <br /> MCGLYNN, THOMAS&TONI <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for Hfiich 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 fi�r only thc work describcd and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with wheUier 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 U�e date of issuance,or if construction is <br /> suspended Yor a period of 180 da��s 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.'�his permit may be <br /> revoked at any time for due cause. <br /> /►"( Cl.c�� �. � � l l <br /> Applicant Pcrmitec Signature Date [ssued I3y.' gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />