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CITY OF ORONO * z 0 1 7 - 0 0 0 s 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU3U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 761 BR[DGEWATER DR <br /> PIN : 33-118-23-12-0092 <br /> LEGAL DESC : STONEBAY SEVENTH ADD[TION <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 2030 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.02 <br /> TRI COUNTY WATER CONDITIONERS MAIL-[N FEE 2.00 <br /> 325 3RD AVE NW <br /> P O BOX 65 TOTAL 53.02 <br /> HUTCH[NSON,MN 55350- Payment(s) <br /> (320)587-2950 � CHECK 21202 53.02 <br /> OWNER <br /> FRAYNE,GORDON&ELLEN <br /> 761 BRIDGEWATER DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this permit is issued shall be performed according ro <br /> Ihe approved plans and specifications,applicable Ciry 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 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 1 AO 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 with State Buil ' g Code.This permit may be <br /> revoked at any time for du ause. <br /> / <br /> '; �� D -e �_ l ,�/ l/ 7 <br /> ,�—� ; <br /> Applicant Permitee Signature Date Issued y Signature Date <br />