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e ^ <br /> CITY OF ORONO * 2 0 1 2 - 0 0 4 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 6/5/2012 <br /> ADDRESS : 460 EAST LONG LAKE RD <br /> PIN : 35-118-23-14-0010 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: REPLACE WATER SOFTENER <br /> ' APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> WATER DOCTORS STATE SURCHARGE PLBG(<$500) 5.00 <br /> 8201 CENTRAL AVENUE <br /> SPRING LAKE PARK,MN 55432- MAIL-IN FEE 2.00 <br /> (763)28Cr6243 TOTAL 22.00 <br /> Minnesota State License#: 082337 PAID WITH CC# 8380 <br /> OWNER <br /> JOHNSON,DAVE&ELIZABETH <br /> 17395 CONIFER COURT <br /> CHASKA,MN 5531& <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 pertnit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for d e cause. <br /> .�� �l / �i 2� i /.Z� <br /> icant Permite ignature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRE�FOR WORK OTHER THAN DESCRIBED ABOVE. <br />