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CITY OF ORONO PERMIT NO.: 2010-00515 <br /> . -- . � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 475 DEBORAH DR <br /> P[N : 31-118-23-23-0004 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 004 BLOCK OOl <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : WATER SOFTNER <br /> NO"I�E: WATER SOFTGNI?R <br /> APPLICANT <br /> PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERV[CE 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 /> PA[D WITH CC# 0597 <br /> OWNER <br /> KATHERINE M. SWEETMAN,JAMES G WAIGHT& <br /> 475 DEBORAH DR <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd 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 rela[ed work which requires separate <br /> permits. All provisions of Iaws and ordinances governing this type of work <br /> shall be compied with whether or not specificd herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced 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 /> I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pecmit may be <br /> revoked at any time for due cause. <br /> �lr�,c�� ��/,3 �/o ��Yc��v 9� i3 � ia <br /> Applicant Permitee Signature Datc I ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />