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CITY OF ORONO * z 0 1 z - 0 1 z 1 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1U30/2012 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 FOX ST <br /> PIN : 03-]17-23-32-0014 <br /> LEGAL DESC : BILL KELLEYS LAND 1 ST DN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> RICHARD'S CUSTOM WATER STATE SURCHARGE PLBG(<$500) 5.00 <br /> 6121 EXCELSIOR BLVD. #206 <br /> ST. LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 <br /> (952)920-1200 MISC FEE 0.00 <br /> Minnesota State License#: WM061456 TOTAL 22.00 <br /> OWNER <br /> MYHRAN,ANDERS& LYNN <br /> 2280 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this permit is issued shali be performed accordin�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 perrnission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 afrer work has commenced. <br /> The applicant is resp sible for assuring all required inspections are <br /> requested in confo ance wi[ he Sta[e Building Code.This permit may be <br /> revoked at any e for c <br /> �� � � � � <br /> Appli ant Permitee S' ature Date [ssue Sign re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />