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�, CITY OF ORONO PERMIT NO.: 2008-0043� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/05/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1376 PARK DR <br /> PIN : 07-117-23-41-0096 <br /> LEGAL DESC : SAGA HILL REVISED,HENNEPIN CO <br /> : LOT 000 BLOCK 013 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ST.CROIX VALLEY ECOWATER STATE SURCHARGE PLBG(<$500) 0.50 <br /> 573 COUNTY ROAD A <br /> SUITE 104 MAIL-IN FEE 1.50 <br /> HUDSON,WI 54016 MISC FEE 0.00 <br /> (71�386-8667 TOTAL 17.00 <br /> Minnesota State License#: 064997-WC <br /> OWNER <br /> LARSON&TERESA,DAYTON <br /> 1376 PARK DR <br /> MOLJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is iss�ed 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 wi(( <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consVuction 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 caus�. <br /> �ii/iL`c^.'� C"1� l l l l <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRI ABOVE. <br />