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CITY OF ORONO PERMIT NO.: 2009-000�2 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 02/17/2009 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> AI}DRESS : 1368 NORTH ARM DR <br /> PIN : 07-117-23-41-0054 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 021 BLOCK 008 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345 MAIL-IN FEE 1.50 <br /> (952)933-7200 TOTAL 17.00 <br /> OWNER <br /> GURGONE,AMAMDA <br /> 1368 NORTH ARM DR <br /> MOLTND,MN 55364 <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 goveming 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 consuuction 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 aie <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � ` ���� <br /> � A`-�- --� �'1 � � �,L � / / <br /> Applicant Permitee Signature Date Issu d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />