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CITY OF ORONO * Z 0 1 4 - P1 0 6 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2014 <br /> . � ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1550 NORTH ARM DR � <br /> PIN : 08-117-23-33-0074 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> VALUATION OF PLUMBING 1900 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.95 <br /> BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00 <br /> 1424 3RD STREET N TOTAL 52.95 <br /> MINNEAPOLIS, MN 55411- <br /> (763)755-6468 Payment(s) <br /> CHECK 21680 52.95 <br /> OWNER <br /> PELTOLA, MARGARET <br /> 1550 NORTH ARM DR <br /> MOUND, 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 onty 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 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 due cause. <br /> �� , Yl� l l <br /> Applicant Permitee Signature Date Issued By nature e <br />