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� CITY OF ORONO * 2 0 1 5 - 0 1 0 B 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2015 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 85 FERNDALE GREEN <br /> PIN : 36-118-23-44-0024 <br /> LEGAL DESC : ALLO-RAE TERRACE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: REPLACING EXISTING WATER SOFTNER <br /> VALUAT[ON OF PLUMBING 2400 <br /> APPLICANT PLUMBING F[XTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUAT[ON) 1.20 <br /> BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00 <br /> 5718 INTERNATIONAL PKWY <br /> (612)238-9709 TOTAL 53.20 <br /> Minnesota State License#: plbg-PC643703 Payment(s) <br /> CHECK 23624 53.20 <br /> OWNER <br /> POWERS,JOHN& ROXANNE <br /> 85 FERNDALE GREEN <br /> WAYZATA, MN 55391 <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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances governing[his typc of work <br /> shali be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction au[horized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days a[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 permit may be <br /> revoked at any time for due cause. �� � <br /> �'� � - �� <br /> 1� t�� c�� �� r:� ;�v� � ���� � , ���,, ;�, <br /> Applicant Permitee ignature Date Issued By Signat re Date <br />