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� CITY OF ORONO P�aM�T No.: 2011-oo13a <br /> ` 2750 KELLEY PARKWAY <br /> i <br /> ORONO, MN 55356- �ATE issuED: 02/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : �I S FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 1 18 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) I5.00 <br /> COMMERS, INC. STATE SURCHARGE PLBG (<S500) 5.00 <br /> 91�0 35W SERVICE DR NE <br /> BLAINE, MN 55345- MAIL-IN FEE 2.00 <br /> (612)780-0555 MISC FEE 0.00 <br /> TOTAL 22.00 <br /> OWNER <br /> GRIFFIN, ROBERT <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> Thc work for which this pennit is issued shall bc 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�rant permission 1or addilional iir related work which requires separatc <br /> permits. All provisions oY la�cs and ordinances govcrning this type of work <br /> shall be compied with whethcr or not specified herein.This permit���ill <br /> expire and become null and void if construction authorized is not <br /> commenced wilhin I 80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any timc after work has commenccd. <br /> 1'he applicant is responsible for assuring all rcquired inspections are <br /> requested in conformance���ith tJic State Building Code.This permit may be <br /> rcvoked at any timc for duc cause. <br /> `;2�2.G�L� �rt- l l l l <br /> Applicant Permitce Signature Date [ssued B��S� ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED AB . <br />