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� � CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * 2 0 1 7 — PJ 0 1 0 3 * <br /> DATE ISSUED: 02/06/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1575 MAPLE PL <br /> PIN : 08-117-23-33-0032 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT O10 BLOCK 006 <br /> PERMTT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 200 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.10 <br /> CULLIGAN SOFT WATER SERVICE CO. MpIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY TOTAL 52.10 <br /> MINNETONKA,MN 55345- <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 52.10 <br /> OWNER <br /> Atlas Homes <br /> 14450 i 1TTH AVE N <br /> DAYTON,MN 55369- <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 permit is for only the work described and dces <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 wi(I <br /> expire and become nu(I 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 confortnance with the Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � � <br /> �0 �i � i � <br /> Applicant Pe �tee Signature Date Issued By ature Date <br />