Laserfiche WebLink
' � CITY OF ORONO * 2 0 1 7 - 0 0 1 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/14/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4470 NORTH SHORE DR <br /> PIN : 07-117-23-31-0010 <br /> LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> CULLIGAN SOFT WATER SERVICE CO. MA[L-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 52.25 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 52.25 <br /> OWNER <br /> ETAL,JOHN GROTANS <br /> 4470 NORTH SHORE 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 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 goveming this rype 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 I 80 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 /> . i � <br /> ��W�—� I�j � �/ � / ' / l� <br /> Applicant Permitee Signature � Date Issued B ignature Date <br />