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. CITY OF ORONO PERMIT NO.: 2010-00602 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEv: 07/2U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2905 FOX ST <br /> PIN : 04-117-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 035 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: WATER SOFTENER <br /> IRON FILTER <br /> REVERSE OSMOSIS <br /> VALUATION OF PLUMBING 15000 <br /> APPLICANT PLUMBING FIXTURE FEE 187.50 <br /> CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 7.50 <br /> 1519 148TH AVE NW TOTAL 195.00 <br /> ANDOVER, MN 55304 <br /> (763)434-0445 <br /> Minnesota State License#: 61240 <br /> OWNER <br /> FRANCIS, MICHAEL& BER[T <br /> 2905 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 /> permi[s. 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 after work has commenced. <br /> The applicant i esponsible for assuring all required inspections are <br /> requested in nforma with the State Building Code.This permit may be <br /> revo ed any tim r u ause. <br /> / / / / <br /> t � e ignature Date Issued By Sig ture <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />