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� , CITY OF ORONO PERMIT NO.: 2010-00096 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 02/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1180 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0002 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> VALUATION OF PLUMBING 1800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.90 <br /> 1424 3RD STREET N <br /> MINNEAPOL[S, MN 5541 I- MAIL-IN FEE 2.00 <br /> (763)755-6468 TOTAL 52.90 <br /> OWNER <br /> BURNS, MATTHEW <br /> 1180 LOMA LINDA AVE <br /> MOUND,MN 55364 <br /> AGREEME1vT AND SWORN STATEMEIYT <br /> The work for which this permit is issued sha11 be performed according to <br /> the approved plans and specitications,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 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 atter wark has commenced. <br /> The applicant is responsible for assuring ali required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> W1ti.a.� �w / / �9;yyt��,, l l <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />