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. �. <br /> , CITY OF ORONO PERMIT NO.: 2011-01546 <br /> 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE ISSUED: 12/13/2011 <br /> _ (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS . 745 FERNDALE RD N ` ' �' I "�- r ,_-�, ;-�.l,:. � ,. �� J <br /> � �-- <br /> PIN : 36-118-23-12-0007 '�, 1!�� - �;' �, / � -_f��-- 1 --� <br /> LEGAL DESC : JANET ACRES <br /> : LOT 001 BLOCK OOl <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO"IE: WATER SOFTENER <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 /> FREY, KAREN <br /> 745 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he 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 related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h the State Building Code.This permit may be <br /> revoked at any time for due caus . <br /> � / /�, // ! / i � <br /> Applicant ermitee Sign e Date Issued y Signature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />