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CITY OF ORONO * z 0 1 7 - 0 0 0 7 5 * <br /> i ' 2750 KELLEY PARKWAY DATE [SSUED: OU25/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3520 NORTH SHORE DR <br /> PIN : 08-117-23-43-0009 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: REPLACING A WATER SOFTENER <br /> VALUATION OF PLUMBING 2449 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.22 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 53.22 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 53.22 <br /> OWNER <br /> POLK,JAMES& LEXIE <br /> 3520 NORTH SHORE DR <br /> , MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> rhe work for which this permit is issued shall be performed according to <br /> Ihe approved plans and specifications,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 l80 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 alI required inspections are <br /> requested in conformance with the State Building Code.This permit may be 1 <br /> revoked at any time for due cause. ���/ <br /> � �� <br /> I � �� ��� � � � � ��:��� � .J ��' ;L � �.�-�i <br /> Applicant Permitee Signature ate Issued By Signature Date <br />