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CITY OF ORONO I*WITH 20 I I I I I I 1 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/21/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1565 MAPLE PL <br /> PIN : 08-117-23-33-0031 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 009 BLOCK 006 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: (1)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. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 52.10 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 52.10 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST.CLOUD,MN 56303- <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 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 /> n <br /> 11 -2 <br /> Applicant Permitee Signature Date Issue By Signature Date <br />